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Even in a post-pandemic world, there is still an appetite for [combining different cosmetic procedures](https://aedit.com/aedition/best-aesthetic-procedures-to-combine-to-maximize-appointments) — when possible — in order to achieve optimal results and maximize downtime. One classic pairing that plastic surgeons often recommend due to the harmonious result it creates: [rhinoplasty](https://aedit.com/procedure/nose-shaping-solutions) and [chin augmentation](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures). Here, we break down the benefits and balance of the common combo.

## **The Benefits of Combining Rhinoplasty & Chin Augmentation** 
As we’ve covered, [facial harmony](https://aedit.com/aedition/facial-harmony-in-aesthetic-medicine) is about proportion, and changing the proportion of the nose can have an impact on the appearance of the chin. So, it should come as no surprise that it’s common to combine [nasal surgery](https://aedit.com/aedition/difference-between-septoplasty-rhinoplasty) with [chin enhancement](https://aedit.com/procedure/chin-enhancement-solutions) procedures — and some patients even tack on a few more things. “Very often, they’re also combined with a little submental liposuction to really define the jawline along its whole length,” says [Dara Liotta, MD](https://www.facialplasticsnyc.com/), a double board certified facial plastic and reconstructive surgeon in New York City. She calls this combination of [rhinoplasty](https://aedit.com/procedure/open-rhinoplasty), [chin implant](https://aedit.com/procedure/alloplastic-chin-implant), and submental liposuction a “profile makeover.” 

Pairing these procedures (in the right patient) helps balance the face and allows the results of the individual procedures to make the greatest impact, Dr. Liotta says. “Combining procedures to achieve a more ideal profile can actually help the results of rhinoplasty look more natural —  like your profile was meant to be like that,” she notes. 

Another benefit? [Minimizing cost and downtime](https://aedit.com/aedition/how-much-cosmetic-surgery-costs). “Combining procedures minimizes downtime and saves a bit of money because there’s one anesthesia and one recovery,” says [Jennifer Levine, MD](https://www.drjenniferlevine.com/), a double board certified facial plastic and reconstructive surgeon in NYC. “Who doesn’t like that?” In addition to the potential cost savings, you also can consolidate your healing time when you safely undergo [more than one procedure](https://aedit.com/aedition/best-surgical-and-non-surgical-cosmetic-procedures-to-combine) at the same time. “With a rhinoplasty, you will have a cast and sometimes stitches for six to seven days,” she explains. “The chin implant has a bandage and stitches for the same amount of time.” 

## **The Best Candidate for Rhinoplasty + Chin Augmentation** 
So, how do you determine if you are an ideal candidate to combine rhinoplasty and chin augmentation? “Someone who has a recessed chin and/or has poor definition in the neck area is a good candidate for these procedures,” says [Edward Kwak, MD](https://aedit.com/provider/edward-kwak-md-74), a double board certified facial plastic and reconstructive surgeon in NYC. “And a good candidate for rhinoplasty is someone who wants to change the [shape of their nose](https://aedit.com/concern/nose-shape), [improve breathing function](https://aedit.com/concern/breathing-issues), or both.”

In some cases, the contour of the chin may be creating an optical illusion of sorts. “Many times, patients may feel that their nose is too large, but really the nose looks bigger because the chin is too small,” Dr. Levine notes. Even so, people don’t always appreciate the [role of the chin](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures) in balancing the face. “Chin augmentation is often overlooked because most of us look more at the other parts of our face,” she adds, yet a [2010 study](https://pubmed.ncbi.nlm.nih.gov/20115968/) found that as many as 81 percent of patients may see the benefit of pairing rhinoplasty with chin augmentation. 

It should be noted, however, that some patients — specifically, those who have issues with their mandible or maxilla (i.e. jawbones) — may require more advanced treatment. “These patients would need a more extensive procedure for their lower face,” Dr. Levine cautions. Additionally, those with extensive dental concerns may not be a good candidate for these procedures. “If the teeth are not aligned well, it may indicate a bigger issue,” she says. 

## **Performing Rhinoplasty + Chin Augmentation Together**
When combining rhinoplasty, chin augmentation, and liposuction, it’s up to your surgeon to decide what order they will operate in. “I personally like to do the submental liposuction followed by the chin implant and then the rhinoplasty last,” Dr. Liotta says. By doing the nose last, patients can wake up from [anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia) and start icing as soon as possible, which should help minimize [bruising and swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery). “I think it makes for a better, easier, recovery,” she explains.

If they are being performed at the same time, Dr. Levine also places the chin implant first. “It is considered a clean procedure, while the nose itself is less sterile,” she says. But, if the procedures are being performed at separate times, she usually schedules the rhinoplasty first. The reasoning? The nose is typically what bothers the patient the most.

## **Recovering from Rhinoplasty + Chin Augmentation**
Regardless of the procedure(s), Dr. Kwak always stresses the importance of preoperative and postoperative care with his patients. “It is very important to note that one’s final result is determined by this care — no strenuous activity, no touching of any incisions or casts, etc.,” he says. Recovering from any cosmetic surgery requires patience, but rhinoplasty, in particular, takes time. Dr. Kwak notes the healing journey for this pair takes approximately a year.

### **Recovering from Chin Augmentation**
Interestingly enough, Dr. Liotta finds that patients actually have a harder time recovering from the chin implant than the rhinoplasty. “I think people are used to seeing the black eyes and swelling of rhinoplasty recovery, and they’re prepared mentally to wait a full year for final results,” she explains. “But the recovery process after chin implant is much less publicized and written about, so I find that patients have a harder time with the small amount of swelling and tenderness that go along with it.” Feeling like your chin is “huge” after surgery is normal, Dr. Liotta says. The final results of chin implants and submental liposuction are seen around six months post-op. 

Dr. Levine has patients wear a stretchy chin strap and ice the area for the first 48 hours. After that window, the strap is removed. “Bruising is rare but possible, and there will be some generalized swelling in the area for at least a week,” she says. Sleeping with the head elevated for about two weeks is also recommended.

Additionally, chin augmentation patients may require a [soft foods or liquid diet](https://aedit.com/aedition/meal-plans-diet-before-after-cosmetic-surgery) for several days as they heal, as chewing can irritate the newly adjusted tissue and muscle, Dr. Kwak says. [Vigorous activity or exercise](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures) is discouraged for the first few weeks, but it can soon be resumed — along with a normal work schedule — within about 10 to 14 days, he adds. “Remember that although your fabulous results may be visible right away, they can continue to improve for up to six weeks as your swelling gradually reduces,” he cautions. 

### **Recovering from Rhinoplasty**
Most patients who undergo rhinoplasty surgery (with or without chin augmentation) should be prepared to take two weeks off from work and daily activities. “The early stages of recovery are the most difficult, mostly due to swelling, which leaves you with a stuffy nose,” Dr. Kwak says. Once that step is over, most patients report recovery is easier and less painful than expected. 

You’ll have a small plastic cast on the nose and a few stitches under the nose for about a week. When the cast and stitches are removed, most people only have a tiny bit of residual black eye. “Black eyes fully resolve by around 10 days,” Dr. Liotta shares. Although it does take a full year to enjoy the final results of rhinoplasty, “you can return to normal activity without anyone knowing you did anything” after about a week and half, she says. 

With that said, be prepared to experience residual swelling for 12 months. Dr. Liotta tells patients to expect around 85 percent of the swelling to be gone in a month and 95 percent in six months. All the swelling is generally resolved by the one-year mark.

## **The Takeaway**
Whether your aesthetic concerns center around the shape and [size of your nose](https://aedit.com/concern/nose-size) or the [prominence of your chin](https://aedit.com/concern/chin-shape-and-size), evaluating the proportion of those two facial features before choosing to undergo a cosmetic procedure is important to ensure the most balanced outcome. For some patients, combining a rhinoplasty with a chin augmentation (think: permanent chin implant or [temporary filler](https://aedit.com/procedure/chin-augmentation-with-soft-tissue-fillers)) will be the best way to maximize your time, budget, and results.

Aesthetics

Whether you’re concerned about the size of your nose or the prominence of your chin, evaluating those two features in tandem is the best way to ensure the most optimal result.

Combining Rhinoplasty And Chin Augmentation: Benefits, Candidates, Recovery

The Benefits Of Combining Rhinoplasty And Chin Augmentation

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We’ve all heard the phrase ‘beauty from the inside out’ — and, as it relates to your skincare and wellness routines, that means paying as much attention to what you are putting in your body as to what you are putting on it. “You can’t expect to get great, long-term results from something topical or a doctor if you don’t subscribe to an overall healthy lifestyle,” says [Marc Ronert, MD](https://www.instagram.com/drmarcronert/?hl=en), a European board certified plastic and aesthetic surgeon and co-founder of [Hush & Hush](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhushandhush.com%2F). “Eating clean, [reducing stress](https://aedit.com/aedition/impact-of-stress-on-skin-acne-wrinkles-dryness), and getting [quality sleep](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products) are all important factors in prolonging aging and maintaining your results. I truly believe that a 360-degree approach is instrumental.” 

Perhaps you’ve curated the perfect products for your skin type, but did you know that a lot of the ingredients you are applying to your face (think: vitamin A, antioxidants, collagen) are equally beneficial when incorporated into your diet? While many of these nutrients are common components of a [healthy eating plan](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin), sometimes you need a bit of extra help. Enter vitamins and supplements. 

These nutritious add-ons can improve the quality of the skin from the inside out and complement any at-home or in-office treatments you are already doing. We’re breaking down exactly what to look for in your vitamins and supplements in order to [enhance your skincare](https://aedit.com/aedition/how-dietary-supplements-can-benefit-the-skin) and beauty routine. 

<a href="https://youtu.be/8JWOcSvVJAc" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://youtu.be/8JWOcSvVJAc</a>

## **Topical vs. Ingestible Skincare**
Hearing the word ‘skincare’ probably has you imagining a vanity full of topical lotions and potions, but it’s high time you start thinking about what you put into your body as skincare, too. In fact, that change in mindset is what led Dr. Marc to develop a supplement brand. He and his wife, Janna, co-founded [Image Skincare](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fimageskincare.com%2F) in 2003 with the goal of creating clinical skincare products with evidence-based ingredients, and, in the years since, he’s learned the holistic value of those tried-and-true actives. “Years of formulating topical products led me to the realization that not only are topical ingredients influencing our skin but everything we do, and everything we consume has an effect, too,” he explains. “Topical products are great and necessary for skin health, but there’s more to healthy aging than just skincare.” 

When it came to deciding what ingredients needed to be included in Hush & Hush supplements, there was no need to look much further than the beauty aisle. “Many ingredients that we use for skincare preparations are not only beneficial for our skin from the outside but from the inside as well,” Dr. Marc says. “Several ingredients found in topical skincare are food-derived, which makes sense because plants, herbs, and foods were (and still are) the first beauty and medical applications known to man.”

Just as we’ve grown accustomed to taking a multipronged approach to our overall wellness, our skin health would benefit from a more integrated strategy. “The way an ingredient acts on the surface of the skin versus how it works when ingested is different,” he notes. “A lot of times, specific actives need to be applied and ingested to reap the maximum benefits.”

## **The Best Ingredients for Healthy Skin**
Now that we better understand the basics of ingestible skincare, it’s time to dive into the nitty gritty of the benefits. Like the active ingredients in topical products, the ingredients in supplements can be used to address specific skin concerns. Below are the best treatment protocols for six common complexion and beauty issues:

### **1. For Fine Lines & Wrinkles** 
- Collagen
- Hyaluronic Acid 
- Vitamin A

Yes, that’s the same [collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine), hyaluronic acid (HA), and [vitamin A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) found in your favorite creams and serums. We hate to break it to you, but collagen production starts slowing down at age 25, which means anything you can do to supplement and stimulate the process can go a long way toward smoother (read: less wrinkled) skin. [Hush & Hush TimeCapsule](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhushandhush.com%2Fproduct%2Ftime-capsule%2F) features marine collagen and vitamin C to promote healthy skin growth, while vitamin A, [adaptogens](https://aedit.com/aedition/benefits-of-adaptogens-in-skincare), and omegas 3,6 and 9 reduce visible signs of aging. To keep skin looking plump and, by extension, youthful, HA hydrates from within.

### **2. For Dry Skin**
- Hyaluronic Acid
- Aloe Vera
- Vitamin C

“Treating dry skin also alleviates [fine lines and wrinkles](https://aedit.com/concern/fine-lineswrinkles),” Dr. Marc says. And, in addition to drinking the recommended amount of water each day and applying moisturizing topicals, supplements rich in hydrating ingredients can also nourish the skin. The [Hush & Hush SkinCapsule Hydrate+](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhushandhush.com%2Fproduct%2Fskincapsule-hydrate%2F) includes vegan [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) to plump, coconut water extract and Korean red ginseng to moisturize, and aloe vera to lock water into the skin. In turn, the water retention “diminishes the appearance of fine lines and wrinkles,” he notes. Vitamin C, meanwhile, protects against free radical damage and [promotes](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5579659/) overall skin health. 

### **3. For Acne-Prone Skin** 
- Vitamin A
- Zinc
- Echinacea Purpurea 

Your topical [acne-fighting skincare](https://aedit.com/aedition/best-skincare-ingredients-to-treat-acne-blackheads-whiteheads) routine likely contains antibacterial and anti-inflammatory ingredients, and your breakout-banishing supplement regimen should be no different. Just like in prescription and OTC products, oral vitamin A is a clarifying force. In the [Hush & Hush SkinCapsule Clear+](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhushandhush.com%2Fproduct%2Fskincapsule-clear%2F), it’s paired with zinc to regulate oil production, echinacea purpurea to reduce bacteria, and artichoke leaf to calm inflammation. 

### **4. For Uneven Tone & Texture** 
- Antioxidants 
- Zinc
- Botanical Extracts

When you're looking to improve [skin tone](https://aedit.com/concern/uneven-skin-tone) and [texture](https://aedit.com/concern/uneven-skin-texture) concerns topically, you likely reach for brightening actives, like antioxidants, to even the complexion. It’s no different with ingestibles. The [Hush & Hush SkinCapsule Brighten+](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhushandhush.com%2Fproduct%2Fskincapsule-brighten%2F) features a robust antioxidant blend of [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare), green tea, and fruit and botanical extracts (pomegranate, Indian gooseberry, lycopene, pine bark, etc.) and zinc to both treat current damage and protect against it in the future.

### **5. For Thinning Hair**
- Niacin (vitamin B3)
- Hyaluronic Acid
- Antioxidants

If the pandemic has your [ponytail](https://aedit.com/aedition/how-to-donate-hair-during-covid-19) or hairline thinner than it once was, you may be looking for a way to supplement whatever [topical hair care](https://aedit.com/aedition/best-hair-care-products-by-texture-color) and [in-office hair restoration](https://aedit.com/concern/hair-loss) treatments you’re trying. While you’re likely aware of purported growth benefits of biotin and saw palmetto, their effects can be enhanced by ingredients such as vitamin B3 (i.e. [niacinamide](https://aedit.com/aedition/guide-to-topical-niacinamide-vitamin-b3-in-skincare)), hyaluronic acid, and antioxidants — like the ones found in [Hush & Hush Deeply Rooted](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhushandhush.com%2Fproduct%2Fdeeplyrooted%2F).

### **6. For Post-Procedure Skin**
In the lead up to any aesthetic procedure (surgical and non-surgical), be sure to tell your provider about all the [vitamins and supplements](https://aedit.com/aedition/vitamins-supplements-to-avoid-before-cosmetic-surgery) you take in order to ensure they won’t interfere with treatment or recovery. For example, certain medications (think: aspirin and ibuprofen) and supplements (i.e. vitamin E, fish oil) can increase the chance of bleeding, which can lead to [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox). 

With that said, certain ingestibles (like arnica and pineapple) can actually improve the healing process. Dr. Marc says the key is to find the right “blend of essential vitamins and minerals to keep inflammation down and reduce the irritation that can occur post-procedure.” Be sure to consult with your dermatologist or plastic surgeon before adding any oral or [topical remedies](https://aedit.com/aedition/skincare-after-facial-plastic-surgery-procedures) to your post-op routine.

## **How to Start a Supplement Routine**
Intrigued by the positive effects supplements can have on the skin but unsure of where to start? “Like skincare, supplements work the best in a daily regimen that has a morning and evening protocol,” Dr. Marc says. [Hush & Hush](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fhushandhush.com%2F), for example, is structured with A.M. and P.M. routines in mind, but simply understanding what ingredients work best to support your skin and overall health at different points in the day should be enough to improve compliance and ensure you reap the optimal benefits. 

Just as when introducing a new product or treatment into your routine, it’s important to consult with your provider before trying any vitamins and supplements to ensure they are safe and effective for your needs.

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Wellness

We’ve all heard the phrase ‘beauty from the inside out’ — and, as it relates to your skincare and wellness routines, that means paying as much attention to what you are putting in your body as to what you are putting on it.

The Best Skincare Ingredients To Look For In Dietary Supplements

The Ingredients That Should Be In Your Skincare And Supplement Routine

shutterstock 1557765179

When it comes to making decisions about having plastic surgery, [cost is undoubtedly part of the equation](https://aedit.com/aedition/how-much-cosmetic-surgery-costs). Of course you need to understand your aesthetic goals, possible results, and [find the right provider](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist), but your budget will play a big role in determining which solutions will best treat your needs. *How are you going to fund the surgical or non-surgical procedures? Which ones will prove to be most cost-effective in the long run?* 

Consultations with [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) dermatologists and plastic surgeons are the best way to get a sense of what treatment options exist and how much they will set you back based on your unique anatomy and vision. But, to give you a general sense of how to maximize your budget to correct common facial aesthetic concerns (think: [eye rejuvenation](https://aedit.com/concern/aging-and-tired-eyes), [lip volume](https://aedit.com/concern/lip-size), [fine lines and wrinkles](https://aedit.com/concern/fine-lineswrinkles)), we’ve asked two top facial plastic surgeons for their take.

## **How to Discuss Your Budget with Your Provider** 
If you’ve seen our guide to the [best questions to ask](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) during a plastic surgery consultation, then you know we suggest inquiring about a range of topics — from the [provider’s background](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) to [post-op care](https://aedit.com/aedition/preparing-for-a-smooth-recovery-from-plastic-surgery) — and the cost of your procedure(s) is on that list. While your doctor or surgeon may present all possible treatment options available, understanding how much you are willing and able to spend will allow them to recommend the best course of action given your aesthetic goals, anatomy, and budget.

Since the majority of cosmetic surgeries and procedures are [not covered by insurance](https://aedit.com/aedition/insurance-coverage-for-plastic-surgery-cosmetic-procedures), providers are very accustomed to having conversations with patients about finances. Some practices work with companies that offer financing options, and it’s not uncommon for candidates to save for months or even years before moving forward with their procedure. According to [Farhad Ardesh, MD](https://aedit.com/provider/farhad-ardesh-md-19202), a double board certified facial plastic and reconstructive surgeon in Los Angeles, many patients decide to cut back on discretionary spending (think: their daily cappuccino order) and put the savings towards making an investment in their appearance. 

## **Non-Surgical vs. Surgical: What’s Most Cost-Effective?**
Generally speaking, non-surgical procedures cost less than surgical ones, but, when you factor in the maintenance many of them require, the savings may turn out to be nominal. Even so, a patient’s age, medical history, and aesthetic concerns and goals should all be taken into consideration when developing both short- and long-term treatment plans.

On the non-surgical end of the spectrum, injectables like [Botox®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) and [dermal fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) are often the first things that come to mind. “Botox® and other fillers have a place in the market,” says [Thuy-Van Tina Ho, MD](https://aedit.com/provider/thuyvan-ho-md-25248), a double board certified facial plastic and reconstructive surgeon in Philadelphia, but she also acknowledges that these procedures are “a temporary solution only.” Depending on the candidate, such procedures may be used [preventatively](https://aedit.com/aedition/can-you-be-too-young-for-botox) or to complement more invasive ones. “Botox® is a necessary part of most rejuvenation plans, in order to reduce wrinkles and give a youthful, fresh appearance,” Dr. Ardesh notes. “The secret to Botox® is to have a little placed in all parts of the upper portion of the face, which creates a balanced and natural enhanced look.” 

It’s important to note that while it may be tempting to [search for a bargain](https://aedit.com/procedure/botox/cost) on recurring treatments such as neurotoxins and fillers, now is not the time to Groupon. Finding a skilled injector who has a deep understanding of facial anatomy is the best way to prevent potential complications. While these procedures may seem routine, an untrained practitioner could inject into a blood vessel or damage a nerve, which would have lasting effects. 

But injectables aren’t the only minimally invasive treatment options on the market. From non-surgical fat reduction to energy-based skin tightening, there are plenty of ways to avoid going under the knife. So, how can you get the most bang for your buck? Our experts share their thoughts on a few of the most popular facial treatment areas:

### **1. Eyes** 
Even before [COVID-19 face coverings](https://aedit.com/aedition/influence-of-covid-19-face-masks-on-medical-aesthetics-trends) put our collective attention squarely on the [upper third of the face](https://aedit.com/aedition/popularity-of-eyelid-surgery-cosmetic-eye-procedures-during-covid-19), the eyes have always been a cause of cosmetic concerns. Dr. Ho says that [periorbital neurotoxin treatments](https://aedit.com/procedure/periorbital-botox) and [under eye filler](https://aedit.com/procedure/under-eye-filler) can temporarily address crow’s feet and bags, while [laser treatments and chemical peels](https://aedit.com/aedition/best-aesthetic-procedures-to-minimize-dark-circles) can help resurface aging (read: crepey) skin. To consistently treat dark circles, Dr. Ardesh says [prescription skincare](https://aedit.com/aedition/eye-creams-serums-to-treat-crows-feet-dark-circles-puffiness) may be best.

As an alternative to synthetic filler, which Dr. Ardesh says “can create irregularities and strange, unwanted appearances” in patients with lower eyelid hollows or bags,” both he and Dr. Ho like [fat transfer](https://aedit.com/aedition/comparing-dermal-fillers-vs-fat-grafting-for-facial-rejuvenation-contouring) as a means to restore volume. While the fat is ultimately placed like an injectable, fat grafting is technically a surgical procedure because it involves harvesting fat from a donor site via liposuction before transferring it to the desired area. In this case, Dr. Ardesh likes to perform a nano-fat transfer where fat is taken from the belly button region before being processed into a fine liquid and injected around the eyes. “This procedure can help with hollows and also improve skin color and quality,” he says.

Unlike hyaluronic acid-based dermal fillers that need to be touched up every six to 12 months, fat transfer is permanent after the initial recovery period. For the first three to six months, the fat must become established in its new location, and the body reabsorbs a portion of it (usually about 30 to 50 percent) during that time. As such, providers may suggest a revision down the line to address volume loss.

But fat grafting isn’t the only way to enjoy a long-lasting solution. Dr. Ho recommends [eyelid surgery](https://aedit.com/procedure/blepharoplasty-eyelid-surgery), which can easily be combined with a [neck lift](https://aedit.com/procedure/direct-neck-lift) or [facelift](https://aedit.com/procedure/facelift-rhytidectomy/cost). Depending on the patient’s concerns, Dr. Ardesh says the most cost-effective eye rejuvenation procedure may be removing a small amount of lower eyelid skin through surgery. A [lower eyelid blepharoplasty](https://aedit.com/procedure/blepharoplasty-eyelid-surgery/cost) can be performed as an outpatient procedure in under an hour and correct common age-related eye concerns, like dark circles and bags.

### **2. Lips** 
Whether your concern is [lip shape](https://aedit.com/concern/lip-shape) or size, [lip augmentation](https://aedit.com/procedure/lip-augmentation-solutions) procedures are consistently among the top-performed in the United States every year. [Temporary lip fillers](https://aedit.com/procedure/temporary-lip-fillers) are the perhaps the most well-known treatment option (check out our guide to what to know before your [first time getting lip filler](https://aedit.com/aedition/what-to-know-before-getting-lip-filler-for-the-first-time)), but fat transfer is an option here as well. “Filler enhancement can be performed in the office during a 20-minute visit and costs about $800,” Dr. Ardesh says, noting that they usually last up to a year. 

[Lip augmentation with fat transfer](https://aedit.com/procedure/lip-augmentation-with-fat-transfer), on the other hand, rings in at about $5,000, he shares, but you can expect permanent results. When you consider that one syringe of filler can cost up to $1,200, fat transfer may prove to be more cost effective. Dr. Ardesh transfers between 10 and 60 milliliters of fat and estimates 50 to 70 percent of it survives. “The benefits of fat transfer include that the fat can also be transferred to other parts of the face that need volume at the same time, like the cheeks, jawline, and temples,” he adds. 

### **3. Chin & Jawline**
Speaking of the jawline, Dr. Ardesh says temporary filler is a popular way to add definition here, too. At about $900 per one milliliter syringe, however, the cost of maintaining those results adds up quickly. In addition to fat transfer, he often recommends a permanent implant to patients looking for [chin and jawline enhancement](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures). “A chin implant is the equivalent of at least four vials of filler, so the [chin implant surgery](https://aedit.com/procedure/alloplastic-chin-implant) can be significantly more cost-effective for about $4,000,” Dr. Ardesh says. Not only can the implant prove to be more budget-friendly in the long term, but it also may yield more satisfactory results. “The chin implant may have better aesthetic outcomes than getting jaw filler injections every year,” he says.

### **4. Neck**
We can save the lecture on how craning over our electronic devices is speeding up the aging process for another day, but there is no denying that the [neck](https://aedit.com/concern/neck-and-jawline-definition) often raises a host of aesthetic concerns for patients of all ages. “Procedures such as [Kybella®](https://aedit.com/procedure/kybella), [CoolSculpting®](https://aedit.com/procedure/cool-sculpting), and neck liposuction can all be costly and provide mild, temporary improvement of double chins and neck fullness,” Dr. Ardesh says. While these minimally invasive treatments address the superficial fat under the skin, they do not correct the “deep fat under the loose muscle,” he cautions. 

As a result, a [surgical neck lift](https://aedit.com/procedure/neck-and-jawline-definition-solutions) often proves to be both cost-effective and the best way to achieve the look a patient desires. “The vast majority of patients that come to see me for a neck lift surgery have had previous non-surgical treatments within the last one to two years,” he explains. “These patients would have saved significant money and achieved the result that they originally desired, if they first had surgery.”

### **5. Skin** 
The most budget-friendly way to care for your face in the long run? A healthy lifestyle and good skincare routine. “Regular [sunblock](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) and sun avoidance are a must, in addition to [good nutrition](https://aedit.com/aedition/best-diet-for-healthy-beautiful-skin), [avoiding tobacco products](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health), [reducing stress](https://aedit.com/aedition/impact-of-stress-on-skin-acne-wrinkles-dryness), and [getting enough sleep](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products),” Dr. Ardesh says. When it comes to your skincare regimen, reach for tried-and-true active ingredients (think: [retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare), [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler), and [peptides](https://aedit.com/aedition/guide-to-topical-peptides-in-skincare)) and consider updating your arsenal through your [twenties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-20s), [thirties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s), [forties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-40s), and [after 50](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-50s-60s-70s) to keep up with the evolving needs of your complexion.

Because [at-home skincare can’t do it all](https://aedit.com/aedition/aesthetic-skin-aging-concerns-skincare-cannot-treat), our experts recommend a [chemical peel](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels) once or twice per year to improve skin tone and texture. Starting off a [preventative Botox® routine](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) in your late twenties and early thirties, meanwhile, can help prevent deeper wrinkles from forming down the line. How will you know it’s time? When your expression lines no longer disappear like they once did. 

## **The Takeaway**
While this article hopefully shed some light on the different procedures that exist at different price points to address any number of facial concerns, every patient is entirely unique and there is no such thing as one-size-fits-all in aesthetic medicine. In order to be sure you are maximizing your budget and possible results, be honest with your provider about your budget and what you hope to achieve. They will be able to walk you through all of your treatment options. Ultimately, it’s important to remember that no professional procedure will replace the virtues of a healthy lifestyle, so investing in your physical and mental wellbeing will pay dividends when it comes to maintaining a youthful appearance.

Expert Opinion

When it comes to making decisions about plastic surgery, cost is undoubtedly part of the equation. To give you a sense of how to maximize your budget, we’ve asked two top facial plastic surgeons for their take.

Cost Effective Cosmetic Procedures For The Face, Eyes, Lips

The Best Ways To Invest In Your Face According To Facial Plastic Surgeons

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From facial thirds (and fifths!) to the infamous golden ratio, pop culture has been seeking facial harmony’s magic formula for millennia. Between the ancient Greeks, Renaissance artists like Leonardo da Vinci, and [today's social media set](https://aedit.com/aedition/march-2020-study-shows-relationship-between-social-media-cosmetic-surgery), there's no shortage of hypotheses about what constitutes a well-balanced countenance. But the whopping number of requests for Kate Middleton’s nose (once deemed to be the “world’s most perfect”) proves that many people still don’t have an accurate grasp of the concept.

In a nutshell, facial harmony is about [ideal proportions, not perfection](https://aedit.com/aedition/plastic-surgery-results-are-about-proportion-not-perfection). “It’s not so much about direct measurement; proportions are way more important,” says [Jason Roostaeian, MD](https://aedit.com/provider/jason-roostaeian-md-449), a board certified plastic and reconstructive surgeon and associate clinical professor at UCLA. “When we’re evaluating a face, you’re really looking at that face relative to itself.” In other words, the measurements of individual facial features are less important than the interaction between those features, and we’ve gone straight to the experts to better understand what that means for facial aesthetics.

## **What Is Facial Harmony?**
When we think of facial harmony, most of us think about beauty — but it’s really much more basic (in every sense) than that. “It really comes down to the fact that the most attractive faces are those where everything falls into the average,” Dr. Jason explains. “Philosophically speaking, when one part falls out of the norm, it’s alarming for potential disease.” If a person has a deficient jaw, for example, it’s an indication of certain ailments, he adds.

And, when it comes to attraction, it’s all about survival of the species. “If, in essence, what we’re doing is looking for a partner to mate with, the ideal mating partner is somebody who seems ‘normal’ across the board,” he says. In the most primal sense, we’re programmed to gravitate toward facial symmetry and harmony because they convey good health.

As it relates to aesthetic medicine and plastic surgery, providers have — no surprise here — a very precise understanding of facial proportion. “We mean balance and a subjective sense of normalcy,” explains [Jacob Unger, MD](https://aedit.com/provider/jacob-unger-md-2649), a Nashville-based board certified plastic and reconstructive surgeon and assistant professor of plastic surgery at Vanderbilt University. “If you overly highlight a feature or ignore a feature in the face, it will draw the eye negatively.” 

Sure, a surgery or procedure may focus on one part of the face, but the goal of said treatment is balance. “We aim for improvement in facial aesthetic surgery, but the key to doing it well is understanding facial anatomy and relationships,” Dr. Unger says.

### **Facial Harmony vs. Beauty**
Before we move on, you might be wondering: is facial harmony the same as beauty? According to our experts, the basic tenets of facial harmony have remained largely unchanged. Beauty standards, on the other hand, are infamously ever-changing. “Harmony is less subjective than beauty,” Dr. Unger shares. As he explains it, beauty evolves with the times and trends, but harmony and proportion are less beholden to what is en vogue. “Balance, harmony, and the golden ratio has indicated what is naturally aesthetically pleasing to the human eye and mind since it was first described — and that was thousands of years ago,” he says.

But how do modern beauty trends (think: super plush pouts) fit in with the idea of facial harmony? “There are certain features that you may want to augment compared to average because they have some underlying innuendo with them,” Dr. Jason explains. “But it’s very clear to see that, when it gets too out of proportion, you lose the attractiveness again.” In other words, cosmetic surgery can push certain boundaries to meet beauty standards, but only to the point where the enhancement or augmentation is not disrupting the overall harmony of the face.

## **How Does Plastic Surgery Achieve Facial Harmony?**
“We, as plastic surgeons, must take a holistic approach towards facial beauty and harmony,” Dr. Unger explains. And that often requires a bit of patient education. “We have to make sure we are not just improving the one item that may be the focus for the patient, but explaining how the structures of the face are interrelated,” he continues. As such, candidates must understand that “gentle adjustments in the surrounding areas” may be needed in order to ensure the desired results of more refined shape will look, as he describes, “elegant and balanced.” 

That holistic view ensures facial features remain proportional to each other. “Within a structure like the nose, any expert will explain that just because you don’t like something — a [dorsal hump](https://aedit.com/procedure/nose-bump-solutions), for instance — doesn’t mean that correcting that one issue will look good,” Dr. Unger says. “In fact, it will probably look very unnatural, unbalanced, or not harmonious if you impact one particular concern. This is because everything is interrelated.”

If you’re getting the sense that facial plastic surgery is like aesthetic Tetris, you’re on the right track. “Once you make one move, it may change the proportions and, therefore, you have to make the other move to make the two meld together better,” Dr. Jason says. Essentially, it's all about finding the sweet spot between enhancement (whether it's highlighting or downplaying a feature) and rejuvenation. “This deep understanding of the face is what sets [board certified plastic surgeons](https://aedit.com/aedition/difference-between-plastic-surgeons-and-cosmetic-surgeons) apart from untrained practitioners who do not have deep training or experience in overall facial shape, anatomy, and symmetry,” Dr. Unger adds. That lack of expertise is what leads to “many of the strange looking faces, lips, and cheeks we see walking around all the time,” he says.

The net net: When it comes to finding facial harmony, the whole is indeed much greater than the sum of its parts. Below, we break down some of the most common surgical combos that achieve a more balanced facial appearance:

### **NOSE + CHIN**
Evaluating patients for [rhinoplasty surgery](https://aedit.com/aedition/reinventing-rhinoplasty-whats-different-about-modern-nose-jobs) provides a perfect example of how surgeons consider facial harmony on both a macro level (how a feature relates to all of your other features) and micro level (how a feature’s individual elements relate to each other). “When you fine-tune or reshape a feature that the patient does not like, it will likely require changes to the related parts of the nose or face to ensure everything is balanced and looks appropriate together,” Dr. Unger notes. An example? “A big dorsum, when reduced, will likely expose a too broad nasal tip or too full tip because the relationship will be off,” he says.

Changing the nasal proportions can also [highlight the eyes](https://aedit.com/aedition/popularity-of-eyelid-surgery-cosmetic-eye-procedures-during-covid-19) and make the [chin appear more prominent](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures). It may happen naturally — “sometimes, adjustments to the nose alone are sufficient to meet a patient’s aesthetic goals,” Dr. Jason says — or it may require a bit more refinement. “Other times, we also need to perform a [chin augmentation](https://aedit.com/procedure/chin-enhancement-solutions) to get the results they want,” he adds. “A nose looks more or less prominent based on where the facial plane sits relative to it, so bringing the chin forward can also make the nose look less prominent.”

### **EYES + BROWS**
Another common area where proportions are particularly important? The eyes. [Blepharoplasty](https://aedit.com/procedure/upper-eyelid-blepharoplasty) (a.k.a. eyelid surgery) is one of the most popular surgical procedures for both women and men seeking to restore a more youthful, awake appearance. But removing eyelid skin isn’t always the best (or sole) solution. “Some patients who come in thinking they want blepharoplasty don’t actually have much excess eyelid skin,” Dr. Jason explains. “Instead, what they have is a sagging brow that’s making the lids look heavy.” If the surgeon simply cut away the skin without elevating the brow, the results will not be optimal, he says. As a result, [eye rejuvenation](https://aedit.com/procedure/eye-rejuvenation-solutions) often involves pairing eye and brow procedures.

### **UPPER + LOWER FACE**
The term ‘facelift’ can be confusing because the procedure focuses on restoring the lower to midface and jawline (i.e. the dreaded jowls) — not the entire face. [Facelift surgery](https://aedit.com/aedition/popularity-of-facelift-cosmetic-surgery-for-aging-sagging-neck) alone works well for patients whose concerns are relatively isolated to those areas. But, for those who also have significant signs of aging in the upper face (think: above the cheekbones, the eyes, and brows), a facelift by itself may leave them looking unbalanced. 

As Dr. Jason explains, if you’re getting a facelift, a [brow lift](https://aedit.com/aedition/theres-more-to-a-brow-lift-than-meets-the-eye) often makes sense, too. “You don’t want to make it look piecemeal or unharmonious because you lifted one part and left the rest,” he shares. Patients with a sagging brow, for example, may end up looking, as he describes, “squished in the middle” without the complementary treatment. 

## **Is AI the Future of Evaluating Facial Harmony?**
[Artificial intelligence](https://aedit.com/aedition/study-shows-how-artificial-intelligence-is-bringing-objectivity-to-aesthetics) (read: machine learning) is emerging as a compelling tool for objectively evaluating the elusive trifecta of beauty, youth, and proportion in the human face. But, according to our experts, automated facial analysis still can’t replace the eye of an expertly trained plastic surgeon — and it maybe never will. 

“It is still an analog approach that is honed with education, training, and experience to create shapes and contours that highlight and accentuate without overly stylizing and, thus, looking artificial,” Dr. Unger says. So, while he admits AI may help us better articulate what experts create with their eye and technique, he maintains that we are “likely very far away from a complete algorithmic or pre-planned approach that can be easily enacted on an actual human created from a computerized map.”

At the end of the day, the ‘art’ of plastic surgery cannot be underestimated. “This is what I tell my patients all the time — especially with rhinoplasty — it truly is art, and it doesn’t really matter what anybody else says,” Dr. Jason explains. “At the end of the day, only you can decide what you think looks good.” Regardless of how far the technology comes, honestly portrayed [before and after results](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) are still the most important factor when [choosing the right plastic surgeon](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) and, by extension, the right aesthetic for you.

Facial harmony is about proportion, not perfection, and we’ve gone straight to the experts to better understand what that means for your next plastic surgery consultation.

Importance Of Facial Harmony And Proportion In Plastic Surgery

The Importance Of Facial Harmony In Aesthetic Medicine

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*Feel like you need a dictionary every time you look at the ingredient list of a beauty product? Still unsure of the difference between retinol and retinoids? What about the unique benefits of vitamins B, C, and E? Are alpha and beta hydroxy acids the same thing? The skincare aisle can be overwhelming, but you don’t need a PhD in cosmetic chemistry to navigate it. With expert help, The AEDITION is demystifying and simplifying the beauty industry — [one label at a time](https://aedit.com/aedition/category/read-the-label).*

Tea tree oil, also known as melaleuca oil, is an ingredient that seems to appear just about everywhere these days — from skincare, [hair care](https://aedit.com/aedition/best-hair-care-products-by-texture-color), and [foot care](https://aedit.com/aedition/best-at-home-foot-treatments) to [bath time](https://aedit.com/aedition/best-bubble-bath-products-for-adults) — but do you know the extent of its benefits? The all-natural (and vegan!) ingredient plays well with other actives and can be used morning and night to treat a host of concerns. Intrigued? The AEDITION breaks down everything you need to know about adding tea tree oil to your routine. 

## **What Is Tea Tree Oil?**
Tea tree oil is derived from the leaves of the tea tree, *Melaleuca alternifolia*, that is found in Australia and New Zealand — but don’t get this tree confused with the plants that produce the tea we drink, as they’re completely different. Indigenous Australians have been using tea tree leaves and oils to treat a myriad of ailments, including colds, wounds, and skin woes, for centuries. In fact, they would often bathe in “healing lakes that were filled with fallen tea tree leaves” to take advantage of its medicinal properties, says [Krupa Koestline](https://www.kktconsultants.com/), a clean cosmetic chemist and founder of KKT Consultants.

In the 1920s, international interest in the tea tree grew when Australian chemist Arthur Penfold [reported](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360273/) on the medicinal and healing properties. Commercial plantations were established in the 1970s and 1980s, leading to the industry that we know today. 

## **The Topical Benefits of Tea Tree Oil**

![Tea Tree Oil Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/gLVmnPfOmo9H2gtVRPG2r/5f919dac20ef319b7f13d5af90fa8c3b/Tea-Tree-Oil-Skincare_Benefits-Infographic.png)

Tea tree oil is a workhorse that can be used on the skin, scalp, feet, and even in your baths. “Tea tree oil is used for everything from caring for the appearance of blemishes to clearing up demodex mites, which have been correlated with [rosacea](https://aedit.com/concern/rosacea) and other skin imbalances,” explains Chase Polan, founder and lead alchemist of [Kypris](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fkyprisbeauty.com%2F). “Tea tree oil can also be used for athlete’s foot, dandruff, and a whole host of other pesky microbes that trouble the appearance of skin.” 

If you are dealing with [maskne and breakouts](https://aedit.com/aedition/how-to-treat-prevent-acne-caused-by-covid-19-masks-face-coverings), your clarifying products may very well contain tea tree oil. As New York City-based board certified dermatologist [Angela Lamb, MD](https://aedit.com/provider/angela-lamb-md-34643), explains, the ingredient is considered to be an anti-inflammatory, which is why it’s a great choice for treating [acne](https://aedit.com/concern/acne) and bug bites. And then there is the [aromatherapy](https://aedit.com/aedition/benefits-of-aromatherapy-essential-oils-in-plastic-surgergy) component. “Aromatherapeutically, tea tree oil can be used to create an environment of calm refreshment,” Polan notes. “Many spas diffuse tea tree oil.” 

## **The Best Candidates for Tea Tree Oil**
People with oily and/or acne-prone skin will see the most benefit from adding tea tree oil to their routine, as it can:

- Clear and prevent breakouts
- Reduce skin congestion
- Soothe irritated skin

While the ingredient is generally safe to use on most skin types and skin tones, there is a chance for irritation — especially for those that have a history of allergic reactions or sensitive skin. If you’re unsure about how your skin will react to tea tree oil or a product that contains the ingredient, patch test it on your wrist overnight before applying it to a larger treatment area. 

## **Finding the Right Tea Tree Oil Product**
Tea tree oil is often sold in its pure, natural form (like this pick from [The Body Shop](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Ftea-tree-oil%3FproductId%3DxlsImpprod4190149%26sku%3D2243463%26)). “Tea tree oil is one of the few essential oils that can be applied neat, meaning undiluted,” Polan explains. To ensure it behaves as intended and does not cause undue irritation, pay attention to how it’s packaged and stored. “It’s really important that the essential oil not be oxidized by age or heat or exposure to light or poor storage,” she adds. For undiluted use, Koestline suggests applying a drop of tea tree oil onto a damp cotton bud and carefully dotting the acne lesion or spot that you’re trying to clear.

Pure tea tree oil may be too strong for some people, which is why the aforementioned patch test is important. You can also dilute your essential oil with a carrier oil (think: jojoba, sweet almond, olive, avocado) before applying it. [Renée Rouleau](https://www.instagram.com/reneerouleau/?hl=en), celebrity aesthetician and founder of her eponymous [skincare line](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.reneerouleau.com%2F), recommends looking for a tea tree oil that is “cold-pressed or CO2 extracted” because it will be “gentler.”

When it comes to products that contain tea tree oil, the sky's the limit! The ingredient can be found in masks, moisturizers, and serums, and it really just depends on your needs, wants, and routine. The [Kypris Clearing Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fkyprisbeauty.com%2Fproducts%2Fclearing-serum%3F_pos%3D1%26_sid%3Df7ec6526c%26_ss%3Dr) is ideal for soothing problem skin, while the [Renée Rouleau Rapid Response Detox Masque](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.reneerouleau.com%2Fproducts%2Frapid-response-detox-masque) reduces the microbial count on your skin’s surface to interrupt breakout cycles. On the cleansing and toning front, [Biossance Squalane + Tea Tree Cleansing Gel](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fsqualane-tea-tree-cleansing-gel-P442549%3FskuId%3D2208395%26icid2%3Dproducts%2520grid%3Ap442549%3Aproduct) is a gentle option for acne-prone skin, while the [Carbon Theory Acid Breakout Control Facial Purifying Tonic](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Ftea-tree-oil-citric-acid-breakout-control-facial-purifying-tonic%3FproductId%3Dpimprod2012001) combines tea tree oil and citric acid to clarify.

## **How to Add Tea Tree Oil Into Your Skincare Routine** 
Tea tree oil can be used A.M. and P.M., and it generally plays well with other products and ingredients. With that said, Rouleau and Polan both noted that they would not mix tea tree oil with [retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) due to the possibility of additional irritation. Rouleau also suggests refraining from pairing tea tree oil with fellow acne-fighter [benzoyl peroxide](https://aedit.com/procedure/benzoyl-peroxide).

You should always be [wearing sunscreen](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors) during daylight hours, but, depending on the type of tea tree oil you are using, you may need to be extra diligent. “When used at 1 percent within a product formula (which is usually the amount used), it should not create skin sensitivity,” Rouleau shares. “But, when used in high amounts and in its pure form, tea tree oil can increase photosensitivity.” In such cases, she recommends treating it “like any other acne treatment” and using a sunscreen daily (we’re big fans of her [Weightless Protection SPF 30](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.reneerouleau.com%2Fcollections%2Fsun-protection%2Fproducts%2Fweightless-protection-spf-30)).

When it comes to using tea tree oil [post-procedure](https://aedit.com/aedition/skincare-after-facial-plastic-surgery-procedures), Polan suggests taking a break if you’ve just had any kind of [chemical peel](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels) or abrasion, as there is a chance for irritation. “I wouldn’t recommend tea tree after an intense exfoliation or any kind of peeling or [ablative treatments](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) until the skin is completely healed,” she says. 

One last important thing to note: Although tea tree oil is a natural ingredient, it should not be ingested. If swallowed, symptoms may include, drowsiness, confusion, and loss of consciousness, and you should immediately see a doctor.

## **The Takeaway**
Tea tree oil is a naturally occurring ingredient that has gained popularity for its anti-inflammatory and antibacterial properties, and people with acne or oily skin will benefit most from the potent active. While it can be applied in its pure form, it’s simplest to use as part of a cleanser, serum, or mask. Be sure to consult with your dermatolgoist or aesthetician to determine if tea tree is right for you.  

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Beauty

Tea tree oil is a powerful antimicrobial ingredient that soothes and clarifies. Here’s what the experts have to say to anyone who wants to add the extract to their skincare routine.

Guide To Tea Tree Oil In Skincare: Benefits, Product Recommendations, Usage

Read The Label: All Your Tea Tree Oil Questions Answered

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Vanity, thy name is Vivien, and I spent $325 to basically electrocute my face on a daily basis. Now that I have your attention, let’s dive into microcurrent devices. First off, I’ve never had a [professional microcurrent facial](https://aedit.com/aedition/difference-between-professional-at-home-microcurrent-facials), but years of working in the beauty industry and endless conversations with skincare experts have given me enough insight to know that this painless treatment is the real deal. 

Offering [firming](https://aedit.com/concern/facial-skin-laxity), lifting, and [wrinkle-reducing](https://aedit.com/concern/fine-lineswrinkles) benefits, microcurrent uses electric muscle stimulation to essentially ‘work out’ the muscles. According to skincare experts, this technology is a non-invasive way to achieve a youthful contour. As someone who is eager to try [any facial](https://aedit.com/aedition/what-its-like-to-get-a-hydrafacial-for-clear-glowing-skin) or [beauty innovation](https://aedit.com/aedition/brow-lamination-vs-microblading-for-fuller-eyebrows), the microcurrent facial was at the top of my list of treatments to try — then the pandemic happened. 

Despite decreased outdoor activity, the lack of stressors that come with an hour-long commute, and the complete elimination of multiple alcohol-indulging nights out per week, [my skin felt battered](https://aedit.com/aedition/skincare-aesthetic-procedures-plastic-surgery-to-try-in-2021). My way of remedying the situation? Buying the FDA-approved [NuFace Trinity](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity%3Fvariant%3D1138963228) facial toning device in an attempt to undo the impact that months of lockdown was having on my complexion (yes, you can definitely file this purchase under ‘lockdown made me do it’). 

So, did this at-home microcurrent device live up to the hype? Check out my video review below, and keep reading to see my before and afters.

<a href="https://youtu.be/pJ4RoW-db2w" class="embedly-card" data-card-width="100%" data-card-controls="0">Embedded content: https://youtu.be/pJ4RoW-db2w</a>

## **My New NuFace**
The NuFace microcurrent device promises to reduce puffiness, [decrease the appearance of wrinkles](https://aedit.com/procedure/skin-smoothing-solutions), and tone, lift, and firm the neck and facial muscles through consistent use over the span of two months. What can’t it do? I was about to find out. 

[At-home beauty devices](https://aedit.com/aedition/best-at-home-skincare-devices) have become the norm with editors, beauty specialists, and skincare experts, but I hadn't ventured any further than [gua sha and jade rollers](https://aedit.com/aedition/everything-you-need-to-know-about-gua-sha). After doing my research on the microcurrent market and reading reviews, I decided that this ergonomic gadget would be my tool of choice for it’s multifunctional capabilities. The ball attachment can be detached and replaced with other accessories such as an [LED light](https://aedit.com/aedition/difference-between-professional-at-home-led-therapy) (dubbed the [Trinity Wrinkle Reducer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity-wrinkle-reducer)) or the [Trinity Effective Lip & Eye (ELE),](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity-ele-attachment) a smaller microcurrent appendage to target those hard-to-reach areas. As someone who loves her [beauty tools](https://aedit.com/aedition/beauty-massage-for-face-body), this felt like a no-brainer. 

Needless to say, the at-home version of any in-office treatment isn’t going to be as potent, but that’s not to say you can’t achieve a similar result. All it requires is a bit of consistency and patience, which leads us to...

## **How to Use the NuFace Trinity**
For optimal results, NuFace recommends using the Trinity five times a week for the first 60 days and two to three times per week thereafter to maintain results. I decided that to truly make this a sustainable part of my routine, I would use it once a day, every day, for 30 days. Sure, it was a little high-maintenance for my liking, but it’s certainly more time-efficient and budget-friendly than a ‘lunchtime procedure’ (here’s looking at you, [Botox®](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin)), so I’m not complaining. 

The device comes with a charging station and the signature [NuFACE Hydrating Leave-On Gel Primer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Fnuface-leave-on-gel-primer%3Fvariant%3D169149923345) that is formulated with [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) to plump and hydrate skin and the [Optimizing Mist](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Foptimizing-mist%3Fvariant%3D29803930257) to soothe it. After reading the instructions, the tool was out of the box, charged up, and I was ready to zap. 

### **The Process** 
While there is some trial and error to figure out the best routine for yourself, using the NuFace requires just three steps:

1. Start with a clean, dry face
2. Apply the gel primer
3. Massage the device in upward motions over the specified areas

According to the instructions, the tool should be used along each side of the neck, cheeks (this includes the jawline), and forehead. Each section requires three sets of three repetitions, which are timed by the device. The NuFace has several settings that will allow for gradual build-up of microcurrent intensity, and it makes an automated noise to signify that it’s time to move on to the next section. Simple enough, right? 

If I’m being honest, it took me a few tries to get the hang of using it. I found out the hard way that the primer should be applied *liberally* over the entire treatment area to allow the device to glide smoothly and prevent it from drying out. When the cylinders don’t have the lubrication to glide along the skin, it creates an electro-tingling sensation that you may find uncomfortable. This is not meant to be an example of ‘beauty is pain,’ and, without proper priming, the device may irritate the skin. 

Fortunately, the growing pains were short, and it only took a couple of days to get familiar, if not dependent, on ‘Trinny’ (as I lovingly started to call her). After a week, I was able to build up to the highest strength and make it a [daily bedtime ritual](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products). However, the additional step to my evening beauty routine did lengthen the overall process. Not to mention, applying the primer individually between sections added extra time. Each rep takes approximately five seconds, so, overall, each section should be less than a minute. By taking a break and applying adequate primer to ensure a pleasant microcurrent experience, it lengthened my treatment by a few minutes. Not a problem for me, but, for the sake of transparency, it should be noted that this takes longer than the promised five minutes. 

According to NuFace, leaving the primer on after the treatment is fine because the ingredients are beneficial, but I preferred removing it after each facial massage to proceed with my regular routine.

## **The Results**
I tried this handheld gadget for a total of 30 days, and, while the [before and after photos](https://aedit.com/aedition/importance-of-before-and-after-photos-in-plastic-surgery) below may not show it, I noticed improvements within the short timeframe. My brows arched higher, cheeks felt firmer, and my nasolabial folds were no longer distracting me during my Zoom calls. I felt a boost of confidence and satisfaction in my appearance around the two-week mark, and I can feel the results even more than I can see them. This device may not provide the instant gratification its in-office counterpart does, but, when in lockdown, this facial massage tool felt like the self care moment I needed in my daily routine. 

<CaptionImg url={https://images.ctfassets.net/zw35sfestf1t/5tbp0U1fPjHeCoweMsG9vR/8a8892a08b3352577654320faf09a539/NuFace-BeforeAfter.png}>
  A look at the writer's skin before using NuFace (top and bottom left) and after 30 days of regular treatment (top and bottom right).
</CaptionImg>

Disclaimer: At nearly 30, I am aware that my skin’s laxity and muscle firmness are still in good condition. My approach to beauty has always been [preventative](https://aedit.com/aedition/i-was-practicing-prejuvenation-before-it-was-a-trend), and I know that genetics have sagging jowls in store for me. So, rather than starting to save up for a [facelift](https://aedit.com/aedition/popularity-of-facelift-cosmetic-surgery-for-aging-sagging-neck) in 20-years time — not something I am opposed to in the future — I decided to splurge a little now (and maybe buy myself a few more years before that surgery). 

The price tag is a hefty $325, but the battery life is extraordinary and the benefits, while subtle, may prolong the time before [I try Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time). I could go weeks without recharging my Trinity, and, since electric plugs and space are scarce in my New York apartment, these are big incentives. 

## **The Takeaway**
Overall, the pros of the [NuFace Trinity](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity%3Fvariant%3D1138963228) outweigh the cons. It’s light, adjustable, and I could see results after a short period of time. The downsides are the time commitment required to maintain results, the cost, and the need for recurring purchase of the primer once it runs out. 

Would I recommend it to a friend or loved one? Yes – I’ve already purchased the [NuFace Wrinkle Reducer](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Ftrinity-wrinkle-reducer) attachment for myself and the [NuFace Mini](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mynuface.com%2Fproducts%2Fmini%3Fvariant%3D4795932740) for my mother. 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Patient Perspective

Microcurrent facials are known for immediate toning and lifting benefits. How does an at-home version compare? See the before and after photos to decide.

What It's Like To Use The NuFace Trinity At-Home Microcurrent Device

I Tried An At-Home Microcurrent Device For 30 Days, Here’s What Happened

shutterstock 289770698

Sewing needles date back some 60,000 years, but the history of needles in medicine can be traced to 1844, when the first hypodermic needle was created in Ireland. Biocompatible facial injectables, meanwhile, came to market in the 1960s and 1970s, but it took a few more decades for the technology to become what it is today. With the boom of medical aesthetics, it’s not just the tools that have seen innovation. The [techniques](https://aedit.com/aedition/aquagold-botox-microdosing-facial) in which they are administered has also evolved to offer a more comfortable experience that yields a subtle, natural-looking, and youthful result. 

[Dermal fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) address soft tissue loss, depressed scars, atrophy, or asymmetry, while [neuromodulators](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), like Botox®, temporarily relax muscles to prevent wrinkles or reduce the appearance of them (they also have therapeutic indications to treat [excessive sweating](https://aedit.com/procedure/botox-for-hyperhidrosis), migraines, and even [jaw pain](https://aedit.com/aedition/botox-to-treat-tmj-disorders-and-jaw-slimming)). Many consider aesthetic providers akin to sculptors, molding and [shaping the face](https://aedit.com/aedition/how-to-reshape-your-face-with-filler-botox-injectables) with aesthetics *and* anatomy in mind. The structure of facial muscles and the location of blood vessels and nerves will determine where injectables are placed, how they are administered, and what kind of needle is used. 

Skilled with a syringe and instructed with a vision, their hands work to gently insert the injectable in ways that complement the facial structure. To further understand the process of injecting from a provider’s perspective, we spoke with the experts. 

## **Injectable Techniques** 
During the [consultation process](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) and facial assessment, “providers should discuss their method of injecting with their patient,” explains [Kian Karimi, MD](https://aedit.com/provider/kian-karimi-md-17458), a double board certified facial plastic reconstructive surgeon in Los Angeles. Those who are [needle-wary](https://aedit.com/aedition/guide-to-needles-used-for-cosmetic-injectables-botox-filler) can feel safe as their faces are marked for proper injection placement, as each requires the utmost precision. 

So, what goes on as the needle is inserted? Here are a few of the techniques used in aesthetic medicine: 

- **Multiple Injection**: Also known as serial puncture or ‘string of pearls,’ this technique is done through multiple injection sites to address specific areas of concern. In cases when a single droplet or a few are necessary to help create symmetry, the [single-injection technique](https://www.thieme-connect.de/products/ebooks/lookinside/10.1055/b-0034-64043#) is referred to as ‘depot.’ This has become the [preferred method](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4086532/) in the last few decades for neuromodulator injections, though it may create more bruising. “With depot, you can go down to the bone or tissue and do a bolus of filler,” explains [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), a board certified dermatologist in West Hollywood.  
- **Linear Threading**: Also known as tunneling, linear threading works as the needle is inserted, withdrawing the injectable in one move. This method can be performed in two ways: retrograde and anterograde. With the retrograde technique, the injectable is withdrawn in droplet amounts as the injector removes the needle. With anterograde, the product is injected when the needle is inserted. Anterograde may be performed for [tear troughs](https://aedit.com/procedure/under-eye-filler) or the vermilion border because it allows the injector to better visualize the product tracking. Retrograde linear threading is used to [fill in deeper wrinkles](https://www.reviewofophthalmology.com/article/putting-injectable-facial-fillers-to-their-best-use) (think: the nasolabial folds and marionette lines) or to [plump the lips](https://aedit.com/procedure/lip-augmentation-solutions). 
- **Fanning**: Often done in the cheeks, this technique allows for more product to be distributed throughout the area. Referred to as fanning because the needle is only inserted once and then redirected to a different radial plane, Dr. Emer says this style decreases [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) risk due to limited injection sites. 
- **Cross-Hatching**: Done through a row of linear threads overlapped by another row aligned at an ‘X’ angle to create a slanted grid-like pattern, this technique allows for the injector to fill more product in the desired area. The multiple linear thread injections may be performed in specific areas, such as nasolabial folds or [cheeks](https://aedit.com/procedure/cheek-augmentation-with-fillers), to evenly distribute the product, though it may lead to more bruising. 
- **Grid**: Similar to cross-hatching, the grid technique is done through linear threads at a right angle to allow for more distribution of the [injectable](https://aedit.com/aedition/new-injectables-neurotoxins-fillers-for-face-body). 
- **Ferning**: Similar to linear threading and fanning, ferning is performed by inserting the needle and injecting the product while retracting it in a retrograde fashion. Then, along the thread, the needle is moved out to the sides imitating a fern leaf. 

## **So, Needle or Cannula?** 
Injectable technique depends on the facial landscape, patient's desires, and product used, Dr. Emer says, and there are [different tools](https://aedit.com/aedition/guide-to-needles-used-for-cosmetic-injectables-botox-filler) that have different benefits. Traditional needles provide more precise injection, while cannulas are favored for their decreased risk of bruising and swelling. “Ultimately, you should seek a skilled professional regardless of if they use needles or cannulas,” says [Lesley Rabach, MD](https://lmmedicalnyc.com/dr-lesley-rabach/), a double board certified facial plastic and reconstructive surgeon at LM Medical in NYC. 

### **Needle**
Allowing for more precision but also, often, more bruising, Dr. Karimi says needles are best used for deep temples, midline of the chin, hairline, and fine line injections. “In the temple, for example, you can inject with a needle safely deep on the bone of the temporal fossa,” he explains. Needles may also provide more precision, especially in depot injections. 

### **Cannula**
“The use of a cannula turns injecting into an art form – you become a sculptor,” Dr. Karimi explains. He notes that the tool itself is a longer, blunt-tipped version of a needle, which allows it to target more areas of treatment from a single insertion port. “I inform all of my patients of my use of the cannula almost exclusively and the benefits, such as minimal bruising, with them,” Dr. Rabach shares.

While she believes that cannulas are “inherently safer to be used for injectables,” they come with their own side effects. “The one downside is that it can sometimes cause more [swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery) temporarily that is self-limited, but patients would much prefer this than the potential of weeks of bruising,” she says. 

## **Interchanging Techniques & Needles**
With individual patient concerns come individual solutions, and, for many, their skin, gender, and age will play a role in the approach the injector takes. Providers will assess the patient and, in some cases, alter the tools, techniques, or even formulations used. “A cannula is safer in the superficial portion of the temple hollow,” Dr. Karimi explains. “I use a 25-gauge cannula and dilute the filler in a one to one dilution with 0.9 cc saline and 0.1 cc 2 percent lido.” This approach “minimizes the risk of a vascular occlusion” and helps to “avoid a puffy look in this area,” he adds.  

It should also be noted that certain treatment areas will require a multimodal approach, Dr. Emer notes. “Each technique has its pros and cons,” he says. “The average injector does a mix of depot and linear threads.” Dr. Rabach agrees, explaining that, in areas such as the cheeks, singular drops or depots will be needed. In such cases, “a needle is preferred,” she says. 

But, in the right cases, she maintains that “a cannula provides a nearly pain-free experience, significantly reduced chance of bruising, and precise placement of filler as opposed to a needle.” Experience, however, is key. “It is a highly technical approach that cannot be done by just anyone,” she cautions. 

## **The Takeaway** 
Like Rome, injectable skills and techniques are not built in a day. They require a medically astute injector who understands the anatomy of the face, the behavior of the injectable, and the needs of the patient. To deliver the best results in the most comfortable way, providers may use one of the various treatment methods in their arsenal. Before undergoing any aesthetic procedure, be sure to consult with a board certified doctor or surgeon who is [highly trained](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) in the procedure and methodolgy you are interested in.

Whether it’s a neurotoxin or dermal filler, facial injectables come in different forms and need to be administered accordingly. Here’s what you need to know.

Best Facial Injectable Techniques And Tools For Dermal Filler And Botox

A Guide To Facial Injectable Techniques And Needles

shutterstock 1632003079

Facelifts are one of the most transformative plastic surgery procedures, and the rejuvenated and refreshed look of a [facelift](https://aedit.com/aedition/popularity-of-facelift-cosmetic-surgery-for-aging-sagging-neck) makes it an attractive option for anyone looking to banish the wrinkling and sagging that comes with aging. But facelifts are generally reserved for patients in their [late forties and beyond](https://aedit.com/aedition/best-cosmetic-procedures-plastic-surgery-to-consider-in-your-50s-60s-70s), and many people younger than that wish to replicate the toned and tightened look.

Enter facial tape. Usually made of latex, silicone, or polyethylene plastic, the tape can either be used to give a ‘snatched’ look during the day or employed at night to [fight wrinkles](https://aedit.com/concern/fine-lineswrinkles). Sold everywhere from eBay to Amazon, facial tape further entered the lexicon when people began emulating the queens seen on *RuPaul’s Drag Race*, who often use tape to both secure their wigs and to lift the face. 

But, make no mistake, the practice has been around for years. “Face taping is not a new technique and has been used for years as a potential solution for some people looking to reduce the appearance of wrinkles, specifically to provide an immediate lifting effect,” explains [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), a board certified dermatologist in New York City. “It originally gained popularity in the film industry, when actresses would wear tape under wigs to make their skin appear more firm on camera.” 

While this practice isn’t new, it’s mostly been an insider secret — which means there has been a lack of information about the longer term ramifications and risks of the seemingly instant lift. We’re breaking down what you need to know about the ins and outs of facial tape.

## **Using Facial Tape for an ‘Instant’ Facelift**
Snatching your face with tape can be achieved by applying packing tape or another kind of thick tape on one side of your face (behind your ear), then pulling it across your head to the other side. Another option are kits that include a silicone tab on an elastic band, and are applied similarly to the packing tape method.

And while using these methods intermittently shouldn’t do too much harm for most people, there are still some risks. Dr. Engelman advises against using tapes for long periods of time because they can actually have the inverse effect. “Extended usage of these adhesive tapes could cause exaggerated stretching to the skin and actually accelerate signs of aging,” she cautions. “There could be increased skin laxity induced from tight taping techniques and/or prolonged wear.”

## **Using Facial Tape for Wrinkles**
Using facial tape to tackle wrinkles is controversial, as most dermatologists and aestheticians agree that tapes, patches, and bandages will not effectively reduce, remove, or prevent wrinkles. Wrinkle tapes are said to work if you directly place them on, say, your crow’s feet or forehead lines and leave them on overnight, but the main issue here is that the smoothing effect only lasts as long as the tape is on. Once you wake up and remove the tape, you’re back to square one.

Another concern? While rare, some people can have a reaction to the tape. “The adhesive itself is not dangerous to your skin, though wearing it for prolonged periods of time can result in the skin not getting enough air or natural moisturization, which isn't ideal in any situation,” Dr. Engelman shares. “There are cases where people develop an allergic contact dermatitis to ingredients that make up the adhesive.”

## **Alternatives to Facial Tape**
While facial tape can offer temporary benefits in a pinch, Dr. Engelman doesn’t suggest it as a long-term [lifting](https://aedit.com/procedure/facial-skin-firming-and-lifting-solutions) or [wrinkle-smoothing solution](https://aedit.com/procedure/skin-smoothing-solutions). “I would recommend readers try to avoid facial tape, certainly on a regular basis,” she says. Instead, consider the at-home and in-office options that offer lasting benefits. “If they are looking for real, permanent anti-aging solutions, there are many more viable cosmetic and medical treatments that will safely and truly provide greater reductions in wrinkle visibility,” she shares. An added benefit? “You don't want to be tugging so aggressively on the skin on a regular basis,” she adds.

Here are three at-home and in-office wrinkle-reducing solutions that will have you saying ‘so long’ to your facial tape:

### **Skincare**
Yes, [skincare has its limits](https://aedit.com/aedition/aesthetic-skin-aging-concerns-skincare-cannot-treat), but starting a quality skincare routine before wrinkles and sagging start to show up is a recipe for maintaining flawless skin. In addition to a [broad spectrum sunscreen](https://aedit.com/aedition/best-lightweight-non-greasy-sunscreens-to-wear-indoors), look for products that feature [collagen](https://aedit.com/aedition/guide-to-collagen-in-skincare-supplements-aesthetic-medicine) and elastin-boosting ingredients (think: [retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)), brightening antioxidants (hi, [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare) and [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare)), and exfoliating hydroxy acids (i.e. [AHAs](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare), [BHAs](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare), and [PHAs](https://aedit.com/aedition/guide-to-topical-polyhydroxy-acids-in-skincare)). Don’t know where to start? Check out our guides to the best skincare routine for your [twenties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-20s), [thirties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-30s), [forties](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-40s), and [after 50](https://aedit.com/aedition/best-skincare-routine-products-ingredients-for-50s-60s-70s).

### **Injectables**
Once you have your skincare regimen down, you may want to consider how professional treatments can fit into your routine. [Cosmetic neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), like Botox®, Dysport®, Jeuveau®, and Xeomin®, reduce the look of fine lines and wrinkles. When injected into an affected area (horizontal forehead lines, glabellar lines, crow’s feet, etc.), they temporarily limit muscle contractions, which, in turn, prevents the face from forming lines. Results generally last three to four months. It is increasingly common for patients in their late twenties and early thirties to begin routine neurotoxin treatments as a [preventative measure](https://aedit.com/aedition/i-was-practicing-prejuvenation-before-it-was-a-trend) to ward off deeper wrinkles down the road.

### **Laser Skin Resurfacing**
The most invasive option of the bunch can also yield the most dramatic results. Ablative lasers — the gold standard in [laser skin resurfacing](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing) — create a controlled burn to the skin to stimulate the natural healing process, which jumpstarts elastin and collagen production and, eventually, produces new skin cells. These powerful lasers can treat everything from sun damage and pigmentation to scarring and deep wrinkles.

Long employed for its lifting and wrinkle-reducing properties, here’s why facial tape may not be as useful as you think.

Alternatives To Facial Tape For Reducing Wrinkles, Lifting The Skin

Here’s What Dermatologists Think About Facial Tape

shutterstock 1301028922

Working closely with a [team of medical professionals](https://aedit.com/aedition/finding-the-right-plastic-surgeon-dermatologist-or-cosmetic-dentist) is commonplace during the gender confirmation process, but understanding how plastic surgeons and dermatologists can work together to help during and after your transition can take some of the stress out of the process. 

While plastic surgeons can perform many of the more invasive procedures that make up a transition, dermatologists can offer non-surgical solutions and treat the skin concerns that inevitably arise. Side effects of hormone therapy often show up on the skin in the form of [acne](https://aedit.com/concern/acne), [uneven texture](https://aedit.com/concern/uneven-skin-texture), [hyperpigmentation](https://aedit.com/concern/uneven-skin-tone), and [unwanted hair](https://aedit.com/concern/unwanted-hair) (to name a few). To better understand the skin concerns and treatment options available, The AEDITION asks the experts. 

## **How Hormone Therapy Affects the Skin** 
Hormone therapy is often one of the first medical treatments that both [male to female (MTF)](https://aedit.com/concern/mtf-gender-confirmation) and [female to male (FTM)](https://aedit.com/concern/ftm-gender-confirmation) patients go through. There are different groups of hormones used, and each of them has specific effects on the body that can also impact the patient’s skin. 

### **Male to Female Hormone Therapy**
Transgender women are often prescribed estrogen, which helps feminize features and slows the growth of facial and body hair. “In those transitioning from male to female, estrogen or anti-androgens, like spironolactone, are often used,” explains [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), a board certified dermatologist and founder of Washington Square Dermatology in New York City. “In the skin, estrogen decreases sebum production, decreases body and facial hair, and can change or darken moles.” 

Reduced sebum production can make [skin feel drier](https://aedit.com/aedition/how-to-treat-prevent-dry-skin-face-body-hands), which may necessitate a more hydrating skincare routine, but patients may also seek treatment for another side effect of estrogen: increased pigmentation. “[Melasma](https://aedit.com/concern/melasma) or [hyperpigmentation](https://aedit.com/aedition/what-its-like-to-treat-hyperpigmentation-with-skincare-cosmetic-treatments) on sun-exposed areas of the face can worsen in patients on estrogen therapy,” Dr. Jaber notes.

### **Female to Male Hormone Therapy**
On the other hand, transgender men are generally prescribed testosterone. This hormone is responsible for bodily changes ranging from the thickening of vocal cords to redistribution of [body fat](https://aedit.com/concern/excess-fat). It affects the skin by increasing sebum production and can also make skin feel a little thicker to the touch. “Transgender men who take androgen treatment see increased oiliness to the skin and increased facial and body hair,” explains [Michael Somenek, MD](https://aedit.com/provider/michael-somenek-md-30787), a double board certified facial plastic and reconstructive surgeon in Washington D.C. and member of the [AEDIT Adviosry Board](https://aedit.com/beauty-board). 

Needless to say, more sebum (read: oil) means more of a chance for breakouts. “The increased oil production tends to produce [acne](https://aedit.com/aedition/how-to-treat-hormonal-acne-body-acne-cystic-acne-whiteheads-blackheads) and can be a significant undesired effect of testosterone therapy,” he shares, adding that it “usually peaks by six months.”

## **How to Adapt Your Skincare During Hormone Therapy** 
Based on what we outlined above, it should come as no surprise that transgender women will generally want to curate a skincare routine that focuses on moisturizing the skin and reducing any hyperpigmentation that arises as a result of hormone therapy. [Hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) and [ceramides](https://aedit.com/aedition/guide-to-topical-ceramides-in-skincare) are both effective hydrating ingredients, while actives that brighten (think: [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare)), inhibit tyrosinase (like [azelaic acid](https://aedit.com/aedition/benefits-of-azelaic-acid-in-skincare)), and/or increase cell turnover (hi, [retinol and retinoids](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare)) can address uneven skin tone. 

Transgender men, meanwhile, will likely be looking for products that can decrease oil production, treat acne and blemishes, and calm inflammation. Some of the most tried-and-true [over-the-counter acne ingredients](https://broadway.aedit.com/aedition/best-skincare-ingredients-to-treat-acne-blackheads-whiteheads) include [salicylic acid](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare) and [benzoyl peroxide](https://aedit.com/procedure/benzoyl-peroxide), and patients can unclog pores and exfoliate the skin with [alpha hydroxy acids (AHAs)](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) and [polyhydroxy acids (PHAs)](https://aedit.com/aedition/guide-to-topical-polyhydroxy-acids-in-skincare). Diet and lifestyle changes may also help manage acne symptoms, particularly when it comes to stress. 

In either case, your dermatologist will work with you to find the right combination of OTC and prescription skincare to manage skin concerns that will likely continue to evolve over time.

## **Scar Minimization After Gender Confirmation Surgery**
Scarring is a concern after any procedure (cosmetic or otherwise) and gender confirmation surgery is no exception. In fact, Dr. Jaber says [post-op scar care](https://aedit.com/aedition/minimizing-scars-after-surgery) is one of the common reasons transgender patients consult his practice, yet the process of minimizing scarring actually begins as soon as a procedure ends.

Immediately following surgery, Dr. Somenek provides post-op instructions for scar care, like the application of [silicone patches or gels](https://aedit.com/aedition/scar-minimizing-skincare-to-use-after-surgery) to promote proper wound healing. During the healing process, it’s important to keep the incision site out of the sun to prevent discoloration. [Sunscreen](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) is also encouraged for additional protection.

Scars can take up to a year to fully heal, but, if you are not pleased with the results, there are [in-office treatment options](https://aedit.com/procedure/scar-solutions) that reduce their appearance. Lasers can be very effective in reducing visible scarring. For more extensive scarring, [dermabrasion](https://aedit.com/aedition/dermabrasion-might-be-the-scar-treatment-youve-been-looking-for) and even a scar revision surgery may be available.

## **The Role of In-Office Treatments & Procedures**
Gender confirmation procedures come in many different forms. At his practice, Dr. Somenek says they “commonly include” [rhinoplasty](https://aedit.com/procedure/rhinoplasty-nose-job), [chin augmentation](https://aedit.com/procedure/chin-enhancement-solutions), [jawline reshaping](https://aedit.com/procedure/neck-and-jawline-definition-solutions) (“to create a more defined or softer contour”), [fat grafting](https://aedit.com/aedition/what-its-really-like-to-get-facial-fat-grafting) (“to restore lost volume that can balance the face”), and [blepharoplasty](https://aedit.com/aedition/what-its-really-like-to-get-eyelid-surgery-blepharoplasty) (“to feminize the eyes”). “Depending on which facial features need to be refined, the list can be as small or extensive for any particular transgender patient and is very much individualized,” he shares. Injectables — such as [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin) (i.e. Botox®, Dysport®, Jeuveau®, Xeomin®) and [dermal fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers) — can also be employed for [facial feminization](https://aedit.com/aedition/non-surgical-facial-feminization) and masculinization, while [hair removal solutions](https://aedit.com/procedure/hair-removal-solutions) (think: [laser hair removal](https://aedit.com/procedure/laser-hair-removal) and [electrolysis](https://aedit.com/procedure/electrolysis)) can be used to treat unwanted hair.

This is where the relationship of a patient’s entire medical team becomes important. Dr. Somenek says that dermatologists are “real allies” to plastic surgeons when working with transgender patients. Gender confirmation procedures are deeply personal, and your practitioners will be there to guide you as to the best way to achieve the results you are seeking through the surgical, non-surgical, and at-home treatment options available. 

Side effects of hormone therapy often show up on the skin in the form of acne, pigmentation, and uneven skin texture. Here’s what you need to know about the most common skin concerns and treatment options.

Skincare During Gender Transitioning: Hormone Therapy, Skin Concerns, Treatment Options

Gender Transitioning And Skincare: Taking Care Of Your Changing Face

shutterstock 577416688

If you ask a makeup lover to talk about the favorite parts of their makeup collection, most people would mention a color eyeshadow, a glistening highlighter, or a [stays-matte-all-day](https://aedit.com/aedition/makeup-artist-tips-for-applying-makeup-for-summer-2020) foundation. But, if you ask a makeup artist the same question, it’s likely that they’ll mention their brushes. 

Makeup brushes are to makeup artists what paintbrushes are to painters or a beloved guitar pick is to a musician, but most people don’t realize how integral brushes are to our own makeup kits. One reason? There’s not a ton of information out there about what makes a 'good' makeup brush, so you may not even know what to look for. To better understand how to choose a makeup brush, we asked three expert makeup artists for their tips, tricks, and must-haves.

## **The Makeup Brushes That Should Be in Everyone’s Kit**
Whether you’re a makeup maven or are just starting out on your color cosmetics journey, there are certain types of brushes that should be the foundation of your makeup kit. “A great starting point would be a foundation brush, a concealer brush, a powder brush, an eyeshadow blending brush, and an eye shadow flat brush,” says makeup artist and educator [Rose Siard](https://www.instagram.com/roseandben/?hl=en). “This should get you most places you need to go for day to day looks.” 

### **Essential Makeup Brushes:**

- Foundation Brush
- Concealer Brush
- Powder Brush
- Eye Shdow Blending Brush
- Flat Eye Shadow Brush

Once you’ve got the basics down, there are a few more brushes that you may want to consider to top off your tool kit.

### **Additional Makeup Brushes:**

- Contour Brush 
- Crease Brush
- Eyeliner Brush 
- Lip Brush

Despite the allure of the expansive brush collections makeup gurus love to show off online, there is no need to go crazy. Celebrity makeup artist [Sandy Linter](https://www.instagram.com/sandylinter/?hl=en) says you shouldn’t feel like you need to have a massive kit. Her advice? Ask yourself how many brushes you will actually use. “Makeup artists can have a hundred brushes because they know which ones work where, but don’t confuse yourself with a large brush kit,” she cautions. 

## **How to Choose a Makeup Brush**
So, now that you know the types of makeup brushes you need, it’s time to break down what sets a good brush apart from an average one.

### **1. Consider the fiber density**
Fiber density refers to how many bristles are placed into the ferrule (the metal ring that separates the bristles from the handle) of a brush, and it’s a key indicator of how a brush will deposit color on to your face. A dense brush will lead to a higher color payoff, while a brush with a lower fiber density will give you a softer application. Generally, eyeshadow brushes should be denser than the brushes you use for blush or for blending. The best way to examine a brush’s density before you buy is to see it in person. But, with COVID-19 restrictions still in place, Siard suggests asking for recommendations, looking at the description of the brush on the brand’s website, and reading reviews.

### **2. Check out the material**
The hairs that make up a makeup brush are either made of synthetic or natural fibers. Natural usually means that it’s [come from an animal](https://magazine.lneonline.com/how-its-made-makeup-brushes/), like a goat, sable (i.e. weasel), or squirrel, which has long raised questions about how ethically the hairs are sourced. While natural brushes used to be preferred because they were said to be softer and offer better color payoff, the attitude has shifted as technological advances greatly improved the quality of synthetic tools. “I think synthetic hair fibers are the go-to,” Siard explains. “Not only are they cruelty free, but they are also virtually indistinguishable from natural hair in regard to feel and application.” 

### **3. Prioritize quality over quantity**
When it comes to building a brush kit, you will likely get what you pay for. “Cheap brushes usually don’t hold up when they are cleaned, and they can fan out,” Linter notes. Additionally, Siard believes that good brushes can make makeup better. “In my opinion, a great quality brush can make up for a poor quality product,” she shares. “I would rather have one great eye shadow brush than three subpar ones.”

### **4. Know when to splurge**
One more thing to keep in mind? The type of brush you need. Celebrity makeup artist and groomer [Brandy Allen](https://www.instagram.com/brandyallen/?hl=en) recommends investing in face brushes (think: foundation, powder, etc.), as they are “used on the biggest part of the makeup application.” Linter, meanwhile, likes to splurge on blush and shadow brushes. If you are in the market for a [lip brush](https://aedit.com/aedition/how-to-apply-lipstick), it may be another tool worth spending a bit more on because Linter says it can be hard to find one that is full enough. On the flip side, our experts agree that there are great budget-friendly highlighter and eyeliner brushes that will do the trick for a fraction of the price.

## **Expert-Approved Makeup Brushes**
Ready to upgrade your makeup brush game? Below are five makeup artist- and editor-approved tools to tackle your face, eyes, and body.

### **For Multitasking**: Anisa Beauty Multi-Powder Brush
![AEDIT-Anisa1](//images.ctfassets.net/zw35sfestf1t/2pQphYZ1qFLw9Mu8DGpRFI/0d2dc4beaaef12582d93371e7cd5b1fc/AEDIT-Anisa1.png)
Anisa Beauty’s makeup and [skincare brushes](https://aedit.com/aedition/best-skincare-brushes-for-face-masks-creams-serums) are Allen’s go-to, and this extremely versatile powder brush can be used to apply everything from blush and bronzer to highlighter and setting powder. $40, [anisabeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.anisabeauty.com%2Fcollections%2Fpresent%2Fproducts%2Fmulti-powder-brush) 

### **For Face & Body**: Fenty Beauty by Rihanna Face & Body Kabuki Brush 160
![AEDIT-Fenty](//images.ctfassets.net/zw35sfestf1t/3NEhGOFeIWYFUsKYZRomcm/2e38943d96b208ea5741986396cb61e2/AEDIT-Fenty.png)
Kabuki brushes are short-handled brushes with dense bristles and a rounded shape. While they’re traditionally recommended to be used with powders, your liquid products can be applied with a kabuki brush, too. This option from Fenty is good for applying foundation, powders, highlighters, and shimmers to your face, neck, décolleté, and arms. $34, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fface-body-kabuki-brush-160-P97417774%3Ficid2%3Dproducts%2520grid%3Ap97417774) 

### **For Contouring:** Surratt Beauty Artistique Sculpting Brush
![AEDIT-Surratt](//images.ctfassets.net/zw35sfestf1t/4Q2zR1smjGRRWkMdZZW4YJ/4d9b118557a163461a0af17866675e1b/AEDIT-Surratt.png)
One of the pricier picks on our list, Linter says this brush is worth it because of who made it. “Troy Surratt is a makeup artist, so he understands the various needs of a brush,” she says. This sculpting tool allows for subtle and strategic [contouring](https://aedit.com/aedition/contouring-tips-from-celebrity-makeup-artist-patrick-ta) — no streaky lines here. $120, [surrattbeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.surrattbeauty.com%2Fcollections%2Fbest-sellers%2Fproducts%2Fartistique-sculpting-brush) 

### **For Eye Makeup**: Beautyblender High Roller Crease Brush & Cooling Roller
![AEDIT-Beautyblender](//images.ctfassets.net/zw35sfestf1t/1beaKi99rJCfHZvMf6O8hT/4e8ecdc989003eade7b00dde96545949/AEDIT-Beautyblender.png)
You obviously know Beautyblender for its sponges, but the brand's dual-sided makeup brushes deserve a spot in your kit, too. This fluffy, synthetic-bristle brush is perfect for applying and blending eye makeup — no matter your eye shape or skill set — while the cooling roller tip depuffs and smoothes under eyes. $33, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fhigh-roller-crease-brush-cooling-roller-P449144%3Ficid2%3Dproducts%2520grid%3Ap449144) 

### **For Foundation**: Anisa Beauty Pinnacle Foundation Brush
![AEDIT-Anisa2](//images.ctfassets.net/zw35sfestf1t/6jAShKDX9mF9Uv0kbNT8BL/b3dcd231e6947c649297e1efff0022c8/AEDIT-Anisa2.png)
Siard says that this brush is one of her faves because applying [foundation](https://aedit.com/aedition/fall-2019-liquid-powder-foundations-makeup-skincare) can be “so tricky” compared to other products. The dense triangle-shaped tool pairs perfectly with cream and liquid makeup, which the pro says makes an “enormous difference” in the application process. $30, [anisabeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.anisabeauty.com%2Fcollections%2Fpresent%2Fproducts%2Fpinnacle-foundation-brush) 

### **For Newbies**: Zoeva Coral Shine Brush Set
![AEDIT-Zoeva](//images.ctfassets.net/zw35sfestf1t/13pNAWlqfd4cd6qSiFFSG6/e6f6defa5911104d2763a741ae13debb/AEDIT-Zoeva.png)
Whehter you’re building your kit from scratch or looking to start fresh, this nine-piece set has everything you’ll need and nothing more. With four face brushes and five eye brushes, your entire face will love Zoeva’s vegan designs. $95, [zoevacosmetics.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fzoevacosmetics.com%2Fproducts%2Fcoral-shine-brush-set) 

## **How to Take Care of Your Makeup Brushes**
Here’s the good news: spending money on quality brushes means you can count on them to stand up well to the tests of time, and you can generally expect your makeup brushes to last a couple of years. In fact, Linter says she has two brushes in her kit that she’s had since the 1990s. To ensure longevity, however, your brushes need to be cared for. 

Regularly [washing your brushes](https://aedit.com/aedition/how-to-clean-makeup-brushes-sponges) is a must to remove the residue and bacteria that weakens both the skin barrier and the brush fibers. Siard cleans her brushes every four days, while Allen opts for a daily wash. If you know that’s not going to happen for you, she suggests using a brush cleaner each day and then going for a deep cleanse every one to two weeks, depending on how often you use them. 

You’ll know it’s time to throw out a brush when the bristles start to shed, fray, or become stiff. If you notice a broken handle or ferrule, it’s also time to toss, as bacteria can enter the crack. Another clue that it might be time to swap your brushes? They're no longer applying your makeup evenly. 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

The most overlooked part of your makeup routine is actually the most important, and we’ve asked three makeup artists to share their tips.

How To Choose A Makeup Brush, According To Makeup Artists

How To Choose The Perfect Makeup Brush

tyrell-james-4Zx3WzIMWmk-unsplash

If you’ve never come across azelaic acid in your quest for a perfect complexion, you’re probably going to want to start memorizing how to spell it now for search purposes. The soothing, anti-aging, and acne-busting ingredient is getting a lot of buzz at the moment, but it’s got a long, rich history of helping skin look good. Here’s what you need to know.

## **The Benefits of Azelaic Acid for Skin**

![Azelaic Acid Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/7zQdTFeH1kT3emkeSTqwyC/4936e2cba185889501781f84121794d6/Azelaic-Acid-Skincare-Benefits-Infographic.png)

Azelaic acid can be derived naturally from wheat, barley, and rye, or it can also be created synthetically — it’s just as effective either way. So, what does it do? “It has anti-microbial and anti-inflammatory properties, helps with gentle exfoliation, and is a tyrosinase inhibitor, which means it inhibits the enzyme involved in hyperpigmentation,” explains Nassain O. Wesley, MD, a board certified aesthetic and surgical dermatologist at [Skin Care and Laser Physicians of Beverly Hills](https://www.skincareandlaser.com/about-dr-naissan-o-wesley.php). “We’ve been using azelaic acid in dermatology for years, both as a prescription and non-prescription ingredient.”

Indeed, it’s been a go-to for doctors for several conditions. “I prescribe azelaic acid for patients that have [acne](https://aedit.com/concern/acne) or [rosacea](https://aedit.com/concern/rosacea), particularly those with sensitive skin that can't tolerate retinoids,” says [Samer Jaber, MD](https://aedit.com/provider/samer-jaber-md-3882), a board certified dermatologist at Washington Square Dermatology in NYC. Another reason it gets love? It’s generally considered [safe for pregnant women](https://aedit.com/aedition/skincare-ingredients-to-avoid-during-pregnancy-breastfeeding). “It’s a pregnancy category B ingredient, meaning it may be used, if needed, in pregnant and lactating women,” Dr. Wesley,  shares. Even so, “I always recommend [women] consult with their doctor first,” she adds.

If you really want to see what azelaic acid can do, head to your dermatologist, who can prescribe it in higher concentrations (up to 20 percent versus the 5 to 10 percent you typically see in stores). But even over-the-counter products will give you results. 

Before you jump in, some quick notes: Although it’s considered quite gentle, azelaic acid “can definitely be irritating when you start using it,” Dr. Jaber notes. His advice? “Start gradually, using it every other day initially, and then increase it to daily use as your skin tolerates it,” he says. From there, give it a little time to work it’s magic. “Because it doesn’t tend to cause over drying or irritation like some acids, people may tend to think it’s not strong enough,” Dr. Wesley cautions. “A product does not have to always cause drying or irritation for it to be effective.”

If you’re ready to welcome azelaic acid into your routine, here are a few products to consider:

### **The Freak-Out Whisperer:** Arbonne SuperCalm Skin Relief Serum
![AEDIT-Arbonne](//images.ctfassets.net/zw35sfestf1t/7B5tHInLvx2qf1wNmCFpFf/d94196ec58e465b2b193d7f5d96f1536/AEDIT-Arbonne.png)
Like a meditation session for your skin, this potion features azelaic acid alongside [probiotic](https://aedit.com/aedition/skin-microbiome-skincare-products-ingredients) lysate and tiger grass extract to calm irritation and neutralize the impact of external and internal stressors. $50, [arbonne.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.arbonne.com%2Fpws%2Fhomeoffice%2Fstore%2FAMUS%2Fproduct%2FNEW-SuperCalm-Skin-Relief-Serum-with-Tiger-Grass-Blend-8714%2C14621.aspx) 

### **The Blemish Buster:** Skinceuticals Custom D.O.S.E. Serum 
![AEDIT-SkinCeuticals](//images.ctfassets.net/zw35sfestf1t/fcBxnfIxKp35RcRUtKIN1/c4b58cdaa5b21ee9672502326c908022/AEDIT-SkinCeuticals.png)
Offered as an optional additive to the brand’s Custom D.O.S.E. serum, the azelaic acid booster comes in formulations of 5 and 12 percent and gets high marks for improving clarity, uneven skin tone, and reducing the appearance of imperfections. $195, [skinceuticals.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.skinceuticals.com%2Fcustomdose)

### **The Radiance Booster:** REN Clean Skincare Ready Steady Glow Daily AHA Tonic
![AEDIT-REN](//images.ctfassets.net/zw35sfestf1t/1pP25gx4AnrHZ3ykzIhSJu/0f3d599a7d8dc57a97192c627126f53e/AEDIT-REN.png)
Inside this little bottle is your ticket to brighter skin. The formula pairs [alpha hydroxy acids](https://aedit.com/aedition/guide-to-topical-alpha-hydroxy-acids-in-skincare) (in the form of lactic acid) and [beta hydroxy acids](https://aedit.com/aedition/guide-to-beta-hydroxy-acids-salicylic-acid-in-skincare) (i.e. salicylic acid) with azelaic acid to reveal a more luminous complexion. $38, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fready-steady-glow-daily-aha-tonic-P428095) 

### **The Shine Buster:** Naturium Azelaic Topical Acid 10% 
![AEDIT-Naturium](//images.ctfassets.net/zw35sfestf1t/44vLEq8gHTTK7mtUty17iw/fc03fcb509785dcf9fad32bdb998d80c/AEDIT-Naturium.png)
A great choice for oily skin types, not only does this 10-percent azelaic acid solution offer skin-barrier-boosting [niacinamide](https://aedit.com/aedition/guide-to-topical-niacinamide-vitamin-b3-in-skincare) and brightening [vitamin C](https://aedit.com/aedition/guide-to-topical-vitamin-c-in-skincare), but it helps keep sebum production in check with coffee seed extract. $20, [naturium.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fnaturium.com%2Fproducts%2Fazelaic-topical-acid-10)

### **The Time Stopper:** VI Derm Beauty Retinol Age-Defying Moisturizer
![AEDIT-ViDerm](//images.ctfassets.net/zw35sfestf1t/4163oHYYegXCrkW6nbgnNZ/a75ed660eb01c237e090c63e2be4fac0/AEDIT-ViDerm.png)
This age defier combines the power of azelaic acid with [retinol](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) and glycolic acid to help resurface skin, boost cell turnover, and make for an overall younger, plumper, smoother complexion. $104, [dermstore.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.dermstore.com%2Fproduct_Retinol%2BAgeDefying%2BMoisturizer_65287.htm) 

### **The Multi-Tasker:** Alpyn Beauty Wild Huckleberry 8 Acid Polishing Peel
![AEDIT-ALPYN](//images.ctfassets.net/zw35sfestf1t/yOpEXgpJtxvVO6TRDEMNw/a68210df548579057c4b03ca6707c45f/AEDIT-ALPYN.png)
This multitasking, five-minute mask and peel combo sloughs off dead skin cells to blast away dullness before nourishing the skin with antioxidants (the azelaic acid helps it do both). $56, [alpynbeauty.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Falpynbeauty.com%2Fproducts%2Ffacial-peel) 

### **The Hyperpigmentation Eraser:** Dr. Brandt Skincare Dark Spots No More
![AEDIT-DrBrandt](//images.ctfassets.net/zw35sfestf1t/7vgYf5Utdo9GKOAKrHwEu1/b3193e54bdd1563881deb19f8f4db979/AEDIT-DrBrandt.png)
In this little wonder, azelaic acid is joined by tranexamic and phytic acids, niacinamide, and plankton and turmeric extracts to lighten dark spots and discoloration for more even tone and texture. $68, [sephora.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fdr-brandt-skincare-dark-spots-no-more-triple-acid-spot-minimizing-concentrate-P453822) 

### **The Texture Corrector:** Paula’s Choice 10% Azelaic Acid Booster 
![AEDIT-PaulasChoice](//images.ctfassets.net/zw35sfestf1t/6Z5SfqZ2FnmDtN6xBi5V76/8a3cbf1e3873c1e70d1da25e1c3d79af/AEDIT-PaulasChoice.png)
This gel-cream can be used alone or added to your moisturizer to give it smoothing and toning superpowers (by way of azelaic and salicylic acids). Bonus: It also comes in a $10 travel size for those you want to try it out without the commitment. $36, [paulaschoice.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.paulaschoice.com%2F10pct-azelaic-acid-booster%2F775.html) 

### **The Redness Eraser:** APTO Skincare Turmeric Mask
![AEDIT-APTO](//images.ctfassets.net/zw35sfestf1t/25ipnHqyDneZGkW6t7aK5y/daa0bd1f77244a8ffafd8df4a0c4dd71/AEDIT-APTO.png)
Dealing with [mask-related irritation](https://aedit.com/aedition/how-to-treat-prevent-acne-caused-by-covid-19-masks-face-coverings)? You’re going to want to stock up on this calming and purifying soother that is packed with azelaic acid and anti-inflammatory turmeric for both immediate and long-term benefits. $16, [aptoskincare.com](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.aptoskincare.com%2Fproducts%2Fturmeric-mask) 

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

The dermatologist-approved ingredient is a powerhouse for acne, anti-aging, and more.

Benefits Of Azelaic Acid In Skincare For Acne, Anti-Aging, Redness

Why Azelaic Acid Should Be Part Of Your Skincare Routine

gabriella-clare-marino-G3Nj7b UBLo-unsplash

*When should I start getting Botox®? Is it time to incorporate retinol into my skincare routine? What is a “mommy makeover”? How about a “daddy do-over”? Do I really need to, as the saying goes, sacrifice my ass for my face? Should I swap my hyaluronic acid fillers for something a bit more permanent?*

*When it comes to beauty and aesthetics, there is no such thing as one -size -fits-all. But there are some tried and true principles that will keep you looking and feeling your best. In this series, [Coming of Age](https://aedit.com/aedition/category/coming-of-age), The AEDITION answers your most pressing questions about the best treatments, procedures, and practices — from surgery and skincare to health and wellness and everything in between — to consider at any age.*

Upon entering your fifties, the body’s naturally occurring protein structures (think: collagen and elastin) and hydrating agents become increasingly scarce. But experts agree that men are becoming increasingly aware of the options available to help minimize the effects of aging. “Men today who are in their fifties and beyond typically didn’t seek a dermatologist's care when they were younger and are looking to reverse what they didn’t take care of in the past,” explains [Amy Spizuoco, DO](https://aedit.com/provider/amy-spizuoco-19341), a board certified dermatologist in New York City. “It’s all about treating what they didn’t treat earlier in their lives.” From [sunspots](https://aedit.com/aedition/what-its-like-to-treat-hyperpigmentation-with-skincare-cosmetic-treatments) and [acne scars](https://aedit.com/aedition/best-professional-treatments-for-acne-and-acne-scars) to dilated pores, treatment options are abundant — and it all starts with having the [right ingredients](https://aedit.com/aedition/best-skincare-grooming-ingredients-for-men) in your skincare regimen.

## **The Best Men's Skincare Routine for Your 50s & Beyond**
By the time you reach this point in your life, you’ve hopefully assembled a skincare routine that works for you. For the most part, you’re going to want to continue with the potent products you [introduced in your forties](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-40s) and certain products can even carry over from your [twenties](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-20s) and [thirties](https://aedit.com/aedition/best-mens-skincare-routine-products-ingredients-for-30s), too (as we’ve said, some things get better with age!). But there is one important addition we suggest adding to your arsenal: a hyaluronic acid (HA)-based sleep mask. With that in mind, here’s what your skincare regimen should look like:

### **Morning Routine:**

- Gentle Cleanser 
- Antioxidant Serum
- Eye Cream with Caffeine
- Moisturizer with Peptides
- SPF 30+

### **Nighttime Routine:**

- Gentle Cleanser
- Eye Cream 
- Retinol
- Moisturizer with Peptides 
- Sleep Mask with Hyaluronic Acid

While a good skincare routine is the foundation of good skin. Skincare [can only do so much](https://aedit.com/aedition/aesthetic-skin-aging-concerns-skincare-cannot-treat) at this point. As you continue to age, you may consider aesthetic treatments to correct past damage caused by the sun and environmental aggressors so you can create a more youthful appearance (more on that below!).

## **The Best Skincare Ingredients for Your 50s & Beyond**
Using the right ingredients in your skincare regimen is more important now than ever. Continue to be diligent with your [sun care routine](https://aedit.com/aedition/how-to-apply-sunscreen-and-not-miss-a-spot) (that means using a sunscreen with an SPF of 30 or higher every single day — no excuses), and be sure your A.M. and P.M. routine is focused on moisture and cell turnover (i.e. the two things that deplete with age). Here are some tips on what to [look for on the label](https://aedit.com/aedition/category/read-the-label):

### **Sleep Mask with Hyaluronic Acid**
“I love sleep masks,” says [Dendy Engelman, MD](https://aedit.com/provider/dendy-engelman-md-312), a board certified dermatologist in NYC. “They give your skin a boost of hydration that will slowly absorb as you sleep.” After all, they don’t call it [beauty sleep](https://aedit.com/aedition/impact-of-beauty-sleep-on-skin-health-nighttime-skincare-products) for nothing. These rich formulas are great to use once per week (or as needed) to restore moisture, smooth, and plump the skin. We like the [Olay Luminous Overnight Gel Mask](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.walmart.com%2Fip%2FOlay-Luminous-Overnight-Facial-Mask-Gel-Moisturizer-4-5-oz%2F43545593) because the gel texture is surprisingly lightweight and doesn’t make a mess of your pillow. Another plus? It pairs super-hydrator [hyaluronic acid](https://aedit.com/aedition/guide-to-hyaluronic-acid-in-skincare-dermal-filler) with the soothing and anti-inflammatory benefits of [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare).

### **Retinol**
Yes, we’ve covered the *many* benefits of [topical vitamin A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare) in previous articles, but its age-defying benefits cannot be overstated. If you haven’t gotten around to adding a prescription-strength retinoid or over-the-counter retinol (consult with your dermatologist to determine which one is best for you) to your routine yet, it’s not too late. If you’re brand new to retinol, start with 0.5 or one percent concentration twice a week and work your way up. If you’ve grown to tolerate a lesser-strength product, now may be the time to upgrade. Our pick? The [Sobel Skin Rx 4.5% Retinol Complex Night Treatment](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.sephora.com%2Fproduct%2Fsobel-skin-rx-4-5-retinol-night-treatment-P447213). 

## **If You’re in the Market for a Professional Treatment…**
In addition to the [laser](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing), [chemical peel](https://aedit.com/aedition/guide-to-superficial-medium-deep-chemical-peels), and and [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) treatments that you might have been trying in your thirties and forties, dermatologists recommend considering [hyaluronic acid-based fillers](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers), like Juvéderm® and Restylane®, to  add volume back into the [cheeks](https://aedit.com/procedure/cheek-augmentation-with-fillers), camouflage [under eye circles](https://aedit.com/procedure/under-eye-filler), and soften the lines that appear around your nasolabial folds. 

As you continue through your sixties and seventies, Dr. Engelman suggests a ‘mini’ facelift with threads. Also known as a [thread lift](https://aedit.com/procedure/thread-lift), the procedure swaps surgery for temporary sutures that are used to subtly lift the skin. It offers a natural and refreshed look that lasts for six months to a year.

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Correcting prior damage remains a top skincare priority as you enter your fifties, but there is also more you can do in-office to address signs of aging.

Best Men's Skincare Products And Ingredients To Use In Your 50s, 60s, 70s

Coming of Age: The Best Men’s Skincare Routine For Your 50s And Beyond

shutterstock 1476708437

Septoplasty and rhinoplasty are the two major ways to surgically alter one’s nose. And though the two sound similar and deal with the same basic territory, there are major differences in each procedure. A [rhinoplasty](https://aedit.com/procedure/rhinoplasty-nose-job) addresses cosmetic issues with the nose, such as bridge height, a bulbous or droopy nose tip, or nostril issues, explains [Edward Kwak, MD](https://aedit.com/provider/edward-kwak-md-74), a double board certified facial plastic and reconstructive surgeon in New York City. A [septoplasty](https://aedit.com/aedition/difference-between-cosmetic-rhinoplasty-vs-functional-rhinoplasty), meanwhile, corrects the nasal cartilage for improved breathing. 

In even simpler terms: “A septoplasty is considered a functional surgery because it makes your nose function better, while a rhinoplasty is considered a cosmetic surgery because it can make you look better,” says [Roxanne Grawe, MD](https://www.roxyplasticsurgery.com/), a board certified plastic and reconstructive surgeon at ROXY Plastic Surgery Center in Powell, Ohio. Though disparate, the two procedures are often performed at the same time, depending a patient's needs. 

Ahead, we’ll further explain the similarities and differences between rhinoplasty and septoplasty surgery.

## **What Is Rhinoplasty?**
The most well-known form of nasal surgery, rhinoplasty (a.k.a. nose job) is a surgical procedure that alters the external shape of the nose. Rhinoplasty is “always associated with external contour irregularities,” says [Lee Ann Klausner, MD](https://aedit.com/provider/lee-klausner-md-41), a double board certified facial plastic and reconstructive surgeon in NYC. An accident or breakage caused by trauma to the nose or simply aesthetic preference about how a patient wants their nose to look, may be cause for a rhinoplasty. There’s also a procedure known as a ‘[revision rhinoplasty](https://aedit.com/aedition/what-you-need-to-know-about-revision-rhinoplasty),’ which is a secondary surgery that corrects a previous, unsatisfactory attempt. Since rhinoplasty is a cosmetic procedure, it will most likely not be covered by health insurance.

### **Rhinoplasty Recovery & Results**
The outcome of a rhinoplasty will depend on your vision for a new nose, Dr. Grawe says. “A rhinoplasty can make your [tip more defined](https://aedit.com/concern/nose-shape), remove a [dorsal hump](https://aedit.com/concern/nose-bump), make your [nose smaller](https://aedit.com/concern/nose-size) or shorter or narrower or [tilted](https://aedit.com/concern/nose-angle) differently,” she says. “All your desires should be discussed with your surgeon ahead of time, so you are on the same page prior to surgery.”

On surgery day, you’ll likely be admitted for an outpatient procedure and be able to return home after surgery. The procedure often requires [general anesthesia](https://aedit.com/aedition/everything-you-need-to-know-about-anesthesia), Dr. Grawe notes. As she explains, there are two types of rhinoplasty — [closed rhinoplasty](https://aedit.com/procedure/closed-rhinoplasty), which “requires incisions only on the inside of the nose,” and [open rhinoplasty](https://aedit.com/procedure/open-rhinoplasty), which necessitates a small incision at the bottom of the nose. “The decision between the two has to do with your surgeon’s preference and what needs to be changed with the nose,” she says.

Depending on the goals of the procedure, the surgeon may break your nose, which will leave you with [bruises](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) below the eyes after surgery. You’ll be sent home with a splint on the outside of your nose that will be removed about five to seven days later.

For six months after surgery, Dr. Kwak advises his patients to avoid strenuous activities, even vigorous nose blowing. You’ll also have to refrain from activities like [smoking](https://aedit.com/aedition/impact-of-cigarette-smoking-vaping-on-skin-hair-teeth-health) and drinking, wearing makeup, tannings, facials, [working out](https://aedit.com/aedition/when-to-start-exercising-again-after-cosmetic-surgery-procedures), and traveling until medically cleared. “Generally, patients look fantastic at the one-month mark (or earlier), although swelling and asymmetries are to be expected until approximately the one year mark,” he says. 

## **What Is Septoplasty?** 
In contrast to rhinoplasty (which can address any number of external nasal issues), septoplasty hones in on the central nasal cartilage — the portion of the nose that separates your nostrils. As Dr. Grawe explains, the septum is like the walls of the house, providing stability to your nose and also allowing for streamlined air movement through the nose. 

For those dealing with [breathing or functional concerns](https://aedit.com/concern/breathing-issues), “a septoplasty opens up airways for improved breathing,” Dr. Kwak says. “This helps patients who suffer from a long list of nasal problems, including nosebleeds, sinus infections, snoring, and migraines.” Since septoplasty is usually considered a medically necessary procedure (read: not cosmetic surgery), it may be [covered by insurance](https://aedit.com/aedition/insurance-coverage-for-plastic-surgery-cosmetic-procedures). 

### **Septoplasty Recovery & Results**
Like rhinoplasty, septoplasty is typically an outpatient procedure. During the surgery, “the cartilage in your nose will be straightened and supported with suture techniques and sometimes cartilage grafting,” Dr. Grawe explains. Depending on your specific needs, “you will have a small incision inside your nose or on the columella (the bottom of your nose),” she adds. Often, the surgeon will end the surgery by placing an internal nasal splint, which helps [decrease swelling](https://aedit.com/aedition/how-to-treat-minimize-swelling-after-cosmetic-surgery). Many providers allow patients to go home the same day. 

After surgery, you can expect “very little” discomfort, Dr. Grawe shares, but there will likely be some swelling around the nose and cheeks. Your breathing should improve within two weeks of the procedure. Since septoplasty often involves straightening the septum, it may, in turn, straighten the nose itself. It should be noted that this is a side effect — not the goal — of this surgery.

## **Which Procedure Is Best for You?**
As with any reconstructive or cosmetic surgery, the most important factor in a successful procedure is proper communication with a [board certified](https://aedit.com/aedition/medical-board-certification-in-plastic-surgery-cosmetic-dermatology) provider. Once a surgeon understands your reasons for seeking nasal surgery and your goals for a modified nose, they can recommend the best course of action (or even share if non-surgical options, like [liquid rhinoplasty](https://aedit.com/procedure/liquid-rhinoplasty), could suit your needs). In the meantime, all you need to do to help decide which procedure — septoplasty or rhinoplasty — is right for you: take a deep breath.

Determining the right nasal surgery for you can come down to one question: Do you have trouble breathing?

Septoplasty vs. Rhinoplasty: What's The Difference?

shutterstock 1407664622

It’s estimated that around 20 percent of the population has some degree of needle phobia. Known medically as trypanophobia, fear of needles comes in different forms — ranging from a fear of the pointy object itself to anxiety around being injected. For people with trypanophobia, the prospect of getting [Botox®](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) or [fillers](https://aedit.com/aedition/what-to-know-before-getting-lip-filler-for-the-first-time) or even considering a surgery that involves [intravenous (IV)](https://aedit.com/aedition/iv-nutrient-drip-therapy-for-skincare-wellness) medication can be overwhelming. But this doesn’t make the results of these procedures any less attractive, so finding ways to make the thought of treatment less stressful may be helpful. 

Uncertainty around what kind of needles are used, how [painful](https://aedit.com/aedition/how-much-plastic-surgery-really-hurts) a procedure will be, and what to expect during the injection process can all increase anxiety levels for any patient but especially for those with needle phobias. Here at AEDIT, we know that knowledge is power, and we’ve consulted with plastic surgeons and patients alike to better understand the different needles used in aesthetic medicine and how to manage fears.

## **Injectable Needles 101**
When you’re looking into having a cosmetic surgery or treatment, you will come across a lot of procedure-specific medical jargon. As it relates to needles, ‘injectables’ is an umbrella term that refers to procedures that inject a product into the skin or body (think: [neurotoxins](https://aedit.com/aedition/comparing-neurotoxin-botulinum-type-a-injections-botox-dysport-jeuveau-xeomin), [filler](https://aedit.com/aedition/everything-you-need-to-know-about-dermal-fillers), [Kybella®](https://aedit.com/procedure/kybella), [Qwo™](https://aedit.com/aedition/qwo-cellulite-injectable-treatment-fda-approved), etc.). “There are different types of needles used for cosmetic injectables, and there are different brands, too,” says [Kian Karimi, MD](https://aedit.com/provider/kian-karimi-md-17458), a double board certified facial plastic and reconstructive surgeon in Los Angeles. Below, a quick vocabulary lesson:  

- **Needle**: A hollow, slender, sharply pointed instrument used for injection.
- **Gauge**: A needle’s gauge refers to the size of its opening. The higher the gauge, the smaller the diameter.
- **Syringe**: The syringe is the plastic pump that is attached to a needle to perform an injection. In the case of dermal filler, syringes often come pre-filled and your practitioner will choose which gauge of needle to use depending on your specific needs.
- **Cannula**: A cannula is a thin, flexible tube that is inserted via needle to administer medication or product. When a cannula is placed, the needle used to insert it is removed.

As Dr. Karimi explains, injectables come with needles in an array of sizes (usually ranging from 27-gauge to 30-gauge), and he says some providers will further customize treatment. “Some injectors like to transfer filler into even smaller syringes with 31- or even 32-gauge needles,” he notes. “But it really comes down to the thickness of the filler to determine which needle would be most appropriate.”

Neuromodulators like Botox®, for example, can often be injected with some of the tiniest needles on the market (a 31- or 32-gauge), which minimizes discomfort. Thicker and more viscous fillers (think: Juvéderm® and Restylane®), meanwhile, may require a larger 30-gauge or 27-gauge needle. As such, dermal filler injections are generally considered to be a bit more uncomfortable than neurotoxins.

### **Needle Alternatives**
As defined above, cannulas can serve as an alternative to needles. “Using a microcannula is different from using a needle,” says Dr. Karimi, who specializes in using DermaSculpt microcannulas. “The difference between a needle and a microcannula is that only one poke is made through the skin with a needle, then the blunt-tip microcannula is used to artistically place the filler in different tissue layers.” 

He has been teaching microcannula use for some 10 years now and estimates he has educated thousands of providers. “Overall, there are many advantages to using the microcannula,” he notes. They include less [bruising](https://aedit.com/aedition/how-to-treat-prevent-bruising-after-lasers-filler-botox) (a typical side effect of facial fillers) and less chance of injecting into a blood vessel, which can cause serious complications. “Although using a microcannula to inject fillers does not eliminate the risk of complication, it does decrease it to a very significant degree,” Dr. Karimi says. They also allow for a more “artistic” result, he adds.

## **Overcoming a Fear of Needles**
“Fear of needles is completely normal, although in some cases it can be quite extreme,” Dr. Karimi admits. To combat it, he and his team employ a variety of calming tactics — beginning the moment someone enters the practice — to make patients more comfortable. “We use great customer service, hearing the patient’s fears and anxieties, nice music, and friendly injectors,” Dr. Karimi shares. He’s also developed his own line of [CBD wellness](https://broadway.aedit.com/aedition/use-of-cbd-cannabinoids-products-in-wellness-fitness-recovery) products, [HealMD](https://www.healmd.us/), which he says has “significantly reduced anxiety in our patients before the procedure.”

Once it comes time for treatment, Dr. Karimi has a few go-to distraction techniques. “We often recommend patients not look at the needle or think about something else while the injections are being performed,” he says. What’s more? “We use distraction methods such as having an assistant tap the shoulder of our patients while the injections are being performed or other [vibration mechanisms](https://aedit.com/aedition/everything-you-need-to-know-before-getting-botox-for-the-first-time) that can help distract from the discomfort,” he adds.

In the case of more invasive procedures (think: combining filler with a [thread lift](https://aedit.com/procedure/thread-lift) or [laser treatment](https://aedit.com/aedition/guide-to-ablative-laser-skin-resurfacing)), minimal sedation may be offered. “When we are performing more significant combination therapies, we offer nitrous oxide gas inhalation during the procedure, which is a 50-50 mix of nitrous oxide and oxygen,” Dr. Karimi explains. “[It] can really help the patient get through the procedure without any lasting intoxicating effects as the gas wears off in just a few minutes.”

## **Patient Perspective**
Jessica conquered her needle phobia and now has regular appointments to top-off her fillers and Botox®. She tells us how [hypnotherapy](https://aedit.com/aedition/hypnotherapy-for-cosmetic-surgery-sedation-recovery-pain) and exposure therapy helped her to overcome her fear of needles and improved her life for the better.

<Dialogue>
  <Question party={The AEDITION}>
    When did your needle phobia start and how did it affect you?
  </Question>
  <Response party={Jessica}>
    It started when I was a pre-teen. I was having a series of medical tests and went from being a little uneasy about having needles near me — I mean, who isn’t?! —  to having severe panic attacks before having my blood drawn or having any other procedure that involved needles.
  </Response>
  <Question party={The AEDITION}>
    How did you overcome your fear?
  </Question>
  <Response party={Jessica}>
    My motivator for combatting my fear was my desire to become a nurse. Of course, I couldn’t be a nurse who was too scared of needles to be in the same room as anyone having an injection. So, I looked into my options and found an incredible therapist who, over a series of sessions, worked on finding the root of my phobia and practicing hypnosis to help me combat it. As I progressed, I went from being able to hold a needle to being able to give blood without feeling any more than some nerves just as anyone else would. As I’ve gotten older, the shift in my approach has also meant that I have been able to take full advantage of cosmetic injectables to keep my face looking nice and youthful.
  </Response>
  <Question party={The AEDITION}>
    Do you have any advice for anyone who is struggling with the same phobia?
  </Question>
  <Response party={Jessica}>
    For me, the most important step was facing the fact that I needed to do something about the problem. After that, being referred by a friend to a great therapist was nothing short of life-changing. Finding a therapist you connect with and who has experience treating phobias is important. I think having an end goal was key for me. If that end goal is [having your lips done](https://aedit.com/aedition/what-to-know-before-getting-lip-filler-for-the-first-time) or getting those frown lines seen to, then more power to you! Injectables are amazing, and I’m so glad I’m able to have them as a happy side effect of working to combat my phobia in the past.
  </Response>
</Dialogue>

## **The Takeaway**
It’s perfectly normal to feel some nerves prior to a cosmetic procedure, but, if you have a fear of needles, this can be exacerbated. Depending on your level of concern, methods ranging from meditation and therapy (talking and/or exposure) to even anxiety medication may be recommended to help manage your fears. Another tact? [Consult with your aesthetic provider](https://aedit.com/aedition/questions-to-ask-your-doctor-during-plastic-surgery-consultation) — they are often equipped with tips and tools to both educate and empower patients. “All in all, we assess each patient to see what level of anxiety they have about the procedure or procedures and discuss all the options with them,” Dr. Karimi shares.

About 20 percent of the population has some degree of needle phobia. Since knowledge is power, we’re breaking down the different needles used in aesthetic medicine and how to manage fears.

The AEDITION

The Mother Of All Mother’s Day Gift Guides: 20 Beauty And Wellness Finds For Her

The Benefits Of Combining Blepharoplasty And Brow Lift

7 Questions To Ask Before Booking A Mommy Makeover

The Best Ways To Invest In Your Body According To Plastic Surgeons

The 8 Best Procedures To Combine With A Facelift

The 5 Best Skincare Ingredient Pairings To Try Now